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Republic of the Philippines

Department of Education
Region XI
DIVISION OF DAVAO DEL SUR
Digos City

PHYSICAL FITNESS TEST FORM


EVALUATION: _____________________________________________________________________________________
NAME: Grade: School:
Age: Sex: Height: Weight:
Waistline: Hipline: WHR: BMI: Classification:
PRE-TEST POST TEST
Remarks Remarks
(AB- Above (AB- Above
Physical Fitness Components And Score Target/BT- Score Target/BT-
Tests Below Target Below Target

1. Sit and Reach (Lower back and 1st 2nd BS 1st 2nd BS
hamstring flexibility)
2. Zipper Test (Shoulder and upper R: L: R: L:
back flexibility)
3. Push Up (Upper body strength)
4. Curl Ups (Abdominal strength)
5. Basic Plank (Muscular Strength)
6. 40 m Sprint (Speed)
7. 3 Minute Step Test BEFORE AFTER BEFORE AFTER
(Cardiovascular Muscular ACTIVITY ACTIVITY ACTIVITY ACTIVITY
Endurance)
8. Hexagon Test (AGILITY) CW: CC: CW: CC:
9. Standing Long Jump (POWER) FT: ST: FT: ST:
10. Stork Balance Test (BALANCE) R: L: R: L:
11. Juggling (COORDINATION)
12. Stick Drop 1st 2nd 3rd MS 1st 2nd 3rd MS
(Reaction Time)
DATE TESTED: DATE TESTED:
________________________________________________________________________________________________
___________________________
MAPEH/P.E. TEACHER
EVALUATION: ______________________________________________________________________________________________

NAME: Grade: School:


Age: Sex: Height: Weight:
Waistline: Hipline: WHR: BMI: Classification:
PRE-TEST POST TEST
Remarks Remarks
Physical Fitness Components And (AB- Above (AB- Above
Target/BT- Target/BT-
Tests Score Below Target Score Below Target
st nd st
1. Sit and Reach (Lower back and 1 2 B 1 2nd BS
hamstring flexibility) S
2. Zipper Test (Shoulder and upper R: L: R: L:
back flexibility)
3. Push Up (Upper body strength)
4. Curl Ups (Abdominal strength)
5. Basic Plank (Muscular Strength)
6. 40 M Sprint (Speed)
7. 3 Minute Step Test BEFORE AFTER BEFORE AFTER
(Cardiovascular Muscular ACTIVITY ACTIVITY ACTIVITY ACTIVITY
Endurance)
8. Hexagon Test (AGILITY) CW: CC: CW: CC:
9. Standing Long Jump (POWER) FT: ST: FT: ST:
10. Stork Balance Test (BALANCE) R: L: R: L:
11. Juggling (COORDINATION)
12. Stick Drop 1st 2nd 3rd MS 1st 2nd 3rd MS
(Reaction Time)
DATE TESTED: DATE TESTED:
__________________________________________________________________________________________________________

___________________________
MAPEH/P.E. TEACHER
EVALUATION: _____________________________________________________________________________________

NAME: Grade: School:


Age: Sex: Height: Weight:
Waistline: Hipline: WHR: BMI: Classification:
PRE-TEST POST TEST
Remarks Remarks
(AB- Above (AB- Above
Physical Fitness Components And Score Target/BT- Score Target/BT-
Tests Below Target Below Target

1. Sit and Reach (Lower back and 1st 2nd BS 1st 2nd BS
hamstring flexibility)
2. Zipper Test (Shoulder and upper R: L: R: L:
back flexibility)
3. Push Up (Upper body strength)
4. Curl Ups (Abdominal strength)
5 Basic Plank (Muscular Strength)
6.40 m Sprint ( SPEED)
7. Minute Step Test (Cardiovascular BEFORE AFTER BEFORE AFTER
Muscular Endurance) ACTIVITY ACTIVITY ACTIVITY ACTIVITY
8.Hexagon Test (AGILITY) CW: CC: CW: CC:
9. Standing Long Jump (POWER) FT: ST: FT: ST:
10.Stork Balance Test (BALANCE) R: L: R: L:
11 Juggling (COORDINATION)
12. Stick Drop 1st 2nd 3rd MS 1st 2nd 3rd MS
(Reaction Time)
DATE TESTED: DATE TESTED:
________________________________________________________________________________________________

___________________________
MAPEH/P.E. TEACHER

EVALUATION: _____________________________________________________________________________________

NAME: Grade: School:


Age: Sex: Height: Weight:
Waistline: Hipline: WHR: BMI: Classification:
PRE-TEST POST TEST
Remarks Remarks
(AB- Above (AB- Above
Physical Fitness Components And Score Target/BT- Score Target/BT-
Tests Below Target Below Target

1. Sit and Reach (Lower back and 1st 2nd BS 1st 2nd BS
hamstring flexibility)
2. Zipper Test (Shoulder and upper R: L: R: L:
back flexibility)
3. Push Up (Upper body strength)
4. Curl Ups (Abdominal strength)
5. Basic Plank (Muscular Strength)
6. 40 m Sprint (Speed)
7. 3 Minute Step Test BEFORE AFTER BEFORE AFTER
(Cardiovascular Muscular ACTIVITY ACTIVITY ACTIVITY ACTIVITY
Endurance)
8. Hexagon Test (AGILITY) CW: CC: CW: CC:
9. Standing Long Jump (POWER) FT: ST: FT: ST:
10. Stork Balance Test (BALANCE) R: L: R: L:
11. Juggling (COORDINATION)
12. Stick Drop 1st 2nd 3rd MS 1st 2nd 3rd MS
(Reaction Time)
DATE TESTED: DATE TESTED:
________________________________________________________________________________________________

___________________________
MAPEH/P.E. TEACHER

Harb18/jdbm18/cid