Technological Institute of the Philippines

Quezon City
Physical Education Department
S.Y. 2023-2024
“PHYSICAL FITNESS FORM”

Name: Kyle Angelo O. Crave

Year& Section: CE21S5 Class schedule: 3:30 to 5:30
Course/subject: PE003 Instructor’s name: ______________________

(Pre-anthropometric)

Weight(kg)
: _____67________ BMI: ___21.5______ Classification: __Normal__________

Below 18.5 Underweight

18.5 – 24.9 Normal/Healthy Weight
25.0 – 29.9 Overweight
Height (m): ______1.778________

Formula: BMI

ANTERIOR (Front) View Picture POSTERIOR (Back) View Picture

LATERAL (Side) RIGHT View Picture LATERAL (Side) LEFT View Picture
 PRE-PHYSICAL FITNESS TEST
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FITNESS TEST EXERCISES TRIAL 1 TRIAL 2 AVERAGE RESULTS

= (Trial 1 + Trial 2) ÷ 2
Resting Heart Rate: ____70___ Level: ___5___
1. Beep Test Heart Rate After the Test: ___133____ Sub Level: ___2____
1 min. Recovery Heart Rate: ____102____

2. Sit and Reach

__58___cm __56___cm ___57__cm

3. Push-ups (One-minute)
_15_____repetitions ____20__repetitions ___12.5___repetitions
R: _____5_____ R: ___5_______ R: ____5______
4. ZIPPER TEST/BACK SCRATCH
L: _____3_____ L: ____3______ L: ____3______

5. Plank Test (One-Minute)

__60____seconds __60____seconds ___60___seconds

6. Wall Sit Test (One-Minute)

____60__seconds ___60___ seconds ___60___ seconds

“I affirm that I have not given or received any unauthorized help on this assignment and that this work is my own”

STUDENT’S SIGNATURE: _________ ___________________ DATE: ___________09-01-23__________________