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Pre-Physical Fitness Form

This document contains a physical fitness form for a student named Kyle Angelo O. Crave. It includes his personal details, anthropometric measurements, pre-fitness test results for various exercises like the beep test, sit and reach, pushups, plank and wall sit. The form is signed by the student to affirm that he completed the tests independently and provided accurate results.

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Crave Christian
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20 views2 pages

Pre-Physical Fitness Form

This document contains a physical fitness form for a student named Kyle Angelo O. Crave. It includes his personal details, anthropometric measurements, pre-fitness test results for various exercises like the beep test, sit and reach, pushups, plank and wall sit. The form is signed by the student to affirm that he completed the tests independently and provided accurate results.

Uploaded by

Crave Christian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Technological Institute of the Philippines

Quezon City
Physical Education Department
S.Y. 2023-2024
“PHYSICAL FITNESS FORM”

Name: Kyle Angelo O. Crave


Year& Section: CE21S5 Class schedule: 3:30 to 5:30
Course/subject: PE003 Instructor’s name: ______________________

(Pre-anthropometric)

Weight(kg)
: _____67________ BMI: ___21.5______ Classification: __Normal__________

Below 18.5 Underweight


18.5 – 24.9 Normal/Healthy Weight
25.0 – 29.9 Overweight
Height (m): ______1.778________

Formula: BMI

ANTERIOR (Front) View Picture POSTERIOR (Back) View Picture

LATERAL (Side) RIGHT View Picture LATERAL (Side) LEFT View Picture
PRE-PHYSICAL FITNESS TEST
Attach your YouTube or Google Drive link here if you did not
Video Link: participate onsite.
Note: Please check your link settings, ensure the accessibility of your video.

FITNESS TEST EXERCISES TRIAL 1 TRIAL 2 AVERAGE RESULTS


= (Trial 1 + Trial 2) ÷ 2
Resting Heart Rate: ____70___ Level: ___5___
1. Beep Test Heart Rate After the Test: ___133____ Sub Level: ___2____
1 min. Recovery Heart Rate: ____102____

2. Sit and Reach


__58___cm __56___cm ___57__cm

3. Push-ups (One-minute)
_15_____repetitions ____20__repetitions ___12.5___repetitions
R: _____5_____ R: ___5_______ R: ____5______
4. ZIPPER TEST/BACK SCRATCH
L: _____3_____ L: ____3______ L: ____3______

5. Plank Test (One-Minute)


__60____seconds __60____seconds ___60___seconds

6. Wall Sit Test (One-Minute)


____60__seconds ___60___ seconds ___60___ seconds

“I affirm that I have not given or received any unauthorized help on this assignment and that this work is my own”

STUDENT’S SIGNATURE: _________ ___________________ DATE: ___________09-01-23__________________

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