PFT Scorecard Template

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PHYSICAL FITNESS TEST (PFT) SCORE CARD

NAME: ___________________________________ GRADE/SECTION: __________________AGE: _____ SEX: ____

PART I. HEALTH – RELATED FITNESS TEST

PARAMETERS FITNESS TEST RESULT


Body Mass Index  Height (meters)
(BMI)  Weight (kilograms)
A. BODY
COMPOSITION BMI = Weight (kg.)  BMI
Height (m)2  Classification

Heart Rate Per Minute


3 – Minute Step (Before the Activity)
B. CARDIOVASCULAR Test Heart Rate Per Minute
ENDURANCE (After the Activity)

Score
C. MUSCULAR STRENGTH 90 Degrees Push-Up Number of Push-Up Made

MUSCULAR ENDURANCE Curl-Ups Number of Curl-Ups Made

Score (cm) Points (1-5)


Zipper Test Overlap Gap – Right Arm (cm)
Overlap Gap – Left Arm (cm)
 First Try
D. FLEXIBILITY Sit and Reach  Second Try
(cm)
 Third Try
Best Score

PART II. SKILL – RELATED FITNESS TEST


PARAMETERS ACTIVITIES RESULT
Score
A. COORDINATION Paper Juggling  Score: Number of Hits
Time (00.00)
Clockwise Time (00:00)
B. AGILITY Hexagon Agility Test Counter Clockwise Time (00:00)

Time (00.00)
C. SPEED 40 Meter Sprint  Time (00:00)
Score
 First Trial (cm)
D. POWER Standing Long Jump  Second Trial (cm)
(distance in cm)  Best Score (cm)

Time (00.00)
Stork Balance Stand  Right Foot Time (00:00)
E. BALANCE Test  Left Foot Time (00:00)
Score
 First Trial (cm)
F. REACTION TIME Stick Drop Test  Second Trial (cm)
 Third Trial (cm)
 Middle Score (cm)

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