PFT Score Card

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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION

PHYSICAL FITNESS TEST


Individual Score Card

_______________________________ ________________________ ___________________ ___________________


Name Grade & Section Birth Date/Age Sex

_Rizal Comprehensive National High School _________Isabela_________ _____________02__________________


School Division Region

PART I. HEALTH – RELATED FITNESS TEST


A. BODY COMPOSITION
1. Body Mass Index (BMI)
Height (m) BMI Classification
Weight (kg)

B. CARDIOVASCULAR ENDURANCE: 3- Minute Step Test


Heart Rate per minute
TRAINING HEART RATE RECOVERY HEART RATE
(locate pulse in 5 sec. after activity/count the pulse beat for 10 sec. X 6) (after 1 min. rest count again pulse beat for 10 sec. X 6)

C. STRENGTH Basic Plank Scoring Matrix


1. Push-up  0 – Cannot hold
No. of Push-Ups  1- 1-15 seconds
2. Basic Plank  2 -16-30 seconds
Score  3- 31-45 seconds
 4- 46-50 seconds
D. FLEXIBILITY  5- 51 seconds and above
1. Zipper Test
Left Right Basic Plank Scoring Matrix
Gap Overlap Gap Overlap  0 – Did not touch the finger
 1- just touch the finger
cm
 2- Finger overlapped by 1-2 cm
Score
 3- Finger overlapped by 3-4 cm
 4- Finger overlapped by 5-7 cm
2. Sit and Reach  5- 8 cm and more
1st 2nd Final
Score (cm)

PART II. SKILLS- RELATED FITNESS TEST


A. SPEED: 40 Meter Sprint
TIME (00.00)

B. POWER
1. Standing Long Jump
Distance (in centimeters)
First Trial Second Trial Final

C. AGILITY: Hexagon Agility Test


Clockwise (Time) Counterclockwise(Time) Average (Time)

D. REACTION TIME: Stick Drop Test


First Trial (cm) Second Trial (cm) Third Trial (cm) Middle Score

E. COORDINATION: Juggling
First Trial (Score) Second Trial (Score) Third Trial (Score) Final Score

F. BALANCE: Stork Balance Stand Test


1st (Time) 2nd (Time) 3rd (Time) Final (Time)
Left Left Left Left
Right Right Right Right

____________________________
Student’s Signature

Remarks/Comments/Reaction: ____________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
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