Republic of the Philippines
SOUTHERN LUZON STATE UNIVERSITY
Gumaca Campus
Gumaca, Quezon
PHYSICAL FITNESS TEST
Name: ________________________________________ Course: _______________
Birthdate: _______________________ Age: _________Gender: ______________
Height ______________ BMI___________ Weight:__________(Classification)_____________
SCORE CARD
Fitness Test Standard Pre-test Mid-test Post-test Performance Scale
Score Score Score Level
PULSE RATE
1. Sit & Reach
2. Shoulder Reach
3. Trunk Lift
4. Curl- ups
5. Push-ups
6. Zipper Test
7. Standing Long
Jump
8. 3 [Link] test
9. 40 meters sprint
10. 1 kilometer walk
test
TOTAL
Performance Level: __________________________Scale: ____________
Equivalent Grade in% ____________
________________________
Signature Overprinted Name
Date Accomplished:___________