Republic of the Philippines
Region IV-A CALABARZON
DEPARTMENT OF EDUCATION
Division of Laguna
BITIN INTEGRATED NATIONAL HIGH SCHOOL
Bitin, Bay, Laguna
PHYSICAL FITNESS TEST (PFT) SCORE CARD
S.Y. 2019 - 2020
NAME: ___________________________________ GRADE/SECTION: __________________AGE: _____ SEX: ____
SCHOOL: _________________________________ DISTRICT: ______________ BIRTHDAY: __________________
PART I. HEALTH – RELATED FITNESS TEST
PARAMETERS ACTIVITIES PRE-TEST POST-TEST
(1st Quarter) (4th Quarter)
Body Mass Index (BMI) Height (meters)
A. BODY Weight (kilograms)
COMPOSITION BMI = Weight (kg.) BMI
Height (m)2 Classification
Waist Circumference (inch)
Heart Rate Per Minute
B. CARDIOVASCULAR 3 – Minute Step Test Before the Activity
ENDURANCE Heart Rate Per Minute
After the Activity
Heart Rate Recovery
C. STRENGTH 90 Degrees Push-Up Number of Push-Up
Curl-Ups Number of Curl-Ups
Zipper Test Overlap Gap – Right Arm (cm)
D. FLEXIBILITY Overlap Gap – Left Arm (cm)
First Try
Sit and Reach (cm) Second Try
Best Score
PART II. SKILL – RELATED FITNESS TEST
PARAMETERS ACTIVITIES PRE-TEST POST-TEST
A. COORDINATION Juggling Score: Number of Hits
Clockwise Time (00:00)
B. AGILITY Hexagon Agility Test Counter Clockwise Time
C. SPEED 40 Meter Sprint Time (00:00)
First Trial (m)
D. POWER Standing Long Jump Second Trial (m)
(distance in m) Middle Score (m)
Basketball Pass First Trial (m)
(distance in m) Second Trial (m)
Middle Score (m)
Stork Balance Stand Right Foot Time (00:00)
E. BALANCE Test Left Foot Time (00:00)
First Trial (inch)
F. REACTION TIME Stick Drop Test Second Trial (inch)
Third Trial (inch)
Middle Score (inch)
______________________________________ __________________________________
Name of MAPEH Teacher Name of MAPEH Dept. Head