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Department of Education BUGAY NATIONAL HIGH SCHOOL BUGAY, BAYAWAN CITY PHYSICAL FITNESS AND SPORTS TALENT TEST (PFSTT) NAME____________________________ BIRTHDATE___________ AGE______ GENDER_________ (Family Name) (Given Name) (Middle Name) (Month, Day, Year) (Current Age) (Feminine or Masculine) HOME ADDRESS & TELEPHONE NO. ___________________________________________________ YEAR AND SECTION ___________________ TEACHER’S NAME ______________________ PART I – PHYSICAL FITNESS COMPONENTS 1. NUTRITIONAL FITNESS: BODY MASS INDEX (BMI) ________ CLASSIFICATION________ ________ ________ * WEIGHT _________ Kilograms * HEIGHT ___________ Meters _________ Kilograms ___________ Meters 2. MUSCULAR FITNESS * PARTIAL CURL UPS ___________ * TRUNK LIFT _________ Centimeters * 90-DEGREE PUSH-UPS ________ 3. FLEXIBILITY FITNESS * SIT AND REACH: * SHOULDER FLEXIBILITY: Left Leg Bent _______ Centimeters Right Arm Up _________ Centimeters Right Leg Bent _______ Centimeters Left Arm Up _________ Centimeters 4. PHYSIOLOGICAL FITNESS * ACTIVITY: __________________ TIME: ________________ EVALUATION: _____________________________________________________________________________________________ _____________________________________________________________________________________________ ______________________________________ PART II – SPORTS TALENT COMPONENTS

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Page 1: Pfstt Form

Department of EducationBUGAY NATIONAL HIGH SCHOOL

BUGAY, BAYAWAN CITY

PHYSICAL FITNESS AND SPORTS TALENT TEST (PFSTT)

NAME____________________________ BIRTHDATE___________ AGE______ GENDER_________ (Family Name) (Given Name) (Middle Name) (Month, Day, Year) (Current Age) (Feminine or Masculine)

HOME ADDRESS & TELEPHONE NO. ___________________________________________________

YEAR AND SECTION ___________________ TEACHER’S NAME ______________________

PART I – PHYSICAL FITNESS COMPONENTS

1. NUTRITIONAL FITNESS: BODY MASS INDEX (BMI) ________ CLASSIFICATION________

________ ________

* WEIGHT _________ Kilograms * HEIGHT ___________ Meters _________ Kilograms ___________ Meters

2. MUSCULAR FITNESS

* PARTIAL CURL UPS ___________ * TRUNK LIFT _________ Centimeters * 90-DEGREE PUSH-UPS ________

3. FLEXIBILITY FITNESS

* SIT AND REACH: * SHOULDER FLEXIBILITY: Left Leg Bent _______ Centimeters Right Arm Up _________ Centimeters Right Leg Bent _______ Centimeters Left Arm Up _________ Centimeters

4. PHYSIOLOGICAL FITNESS

* ACTIVITY: __________________ TIME: ________________

EVALUATION: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PART II – SPORTS TALENT COMPONENTS

1. ANTHROPOMETRICS

* SITTING HEIGHT _____________ Centimeters * ARM SPAN_______________ Centimeters

2. MUSCULAR POWER

* STANDING LONG JUMP ___________ Meters * BASKETBALL PASS ____________Meters

3. SPEED

* ACTIVITY: _______________ TIME: __________

EVALUATION:__________________________________________________________________________________________________________________________________________________________________________________________________________________

DATE TESTED: First Time: ___________________________ Second Time: ____________________________


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