NORTH ALLEGHENY PHYSICAL EDUCATION FITNESS ASSESSMENT

Instructions: Please answer each question completely and click once on the submit button when you have finished.  Print a copy of the Confirmation page that appears after you click on the submit button and turn it in to your physical education teacher.
Use of data: The information that you submit will be used to establish fitness and health trends within North Allegheny School District and to determine the need for curriculum modifications.  We ask for your name only to insure the accuracy of the information that you are providing.  At no time will an individual be identified in relation to this data.

Personal Data:

Last Name:    First Name:   Id#:      

Current grade:         Current Age:       Gender:             

Course:          School:  

Fitness Test Pre and Post Data: (If you did not complete a test enter your score as X)

*PACER Test (Enter distance as laps completed) (recovery HR is # of beats recovered from Maximum HR in 1 minute, exp. 200 bpm- 170bpm=30bpm Recovery HR)
Fall:        Laps,   Max. Heart Rate        1 Min. Recovery HR          
Spring:          Laps,  Max. Heart Rate          1 Min. Recovery HR        

*Push-ups
Fall: adaptation     Repetitions       
Spring: adaptation     Repetitions       

*Pull-ups (Enter reps as a decimal exp. 2.25 if you recorded quarter reps)
Fall:     Repetitions        
Spring:     Repetitions    

*Curl-Up Test (Enter repetitions completed up to 85)
Fall: Repetitions                  
Spring: Repetitions         

*Sit and Reach (Enter scores to the nearest half inch)
Fall: Inches Left     Right    
Spring: Inches Left    Right 

I feel a sense of accomplishment based on my spring fitness scores compared to my fall scores.    

Just click one time on the Submit button, Do not double click.