Division Improvisedphysical Fitness Record Sheet
Division Improvisedphysical Fitness Record Sheet
Division Improvisedphysical Fitness Record Sheet
Department of Education
Caraga Administrative Region
Division of Agusan del Sur
(NAME OF SCHOOL)
(School Address)
Age Weight Height Body Mass Index (BMI) Zipper Test (R) Zipper Test (L) Sit and Reach 3-Minute Step Test Push-up Basic Plank
PRE
4
POST
PRE
5
POST
PRE
6
POST
SKILL-RELATED FITNESS TEST
DATE TESTED
40-Meter Sprint Standing Long Jump Hexagon Agility Test Stick Drop Test Juggling Stork Balance
GRADE/ Pattern
Trials HH:MM:SS Trials Trials HH:MM:S HH:MM:S
Ave. MAPEH Teacher's Signature
Time Over Printed Name
SECTION HH:MM:SS
Score Interpretation Score Interpretation Score Interpretation Score Interpretation Score Interpretation
S S
HH:MM: Score Interpretation mm/dd/yyyy
00:00:00 counter 00:00:00 00:00:00
1st 2nd clockwise 1st 2nd 3rd 1st 2nd SS
clockwise (R) (L)
(cm.) (cm.) 00:00:00 (cm.) (cm.) (cm.) (hits) (hits) 00:00:00
00:00:00
PRE
4
POST
PRE
5
POST
PRE
6
POST