(L/R) / Push-ups / Curl-ups / Body Comp
Test 1 Results / / / /
Points earned
Test 2
Results / / / /
Points earned
Test 3
Results / / / /
Points earned
Fitness Gram Results (Female)
Name:______Period ______
Test 1
20 points / 15 points / 10 points / 5 points / 0 pointsPACER / 61+ / 60-40 / 39-30 / 29-20 / <20
ONE MILE / <8:00 / 8:01-10:00 / 10:01-12:00 / 12:01-14:00 / >14:00
SIT-N-REACH / 12+ / 11-10 / 9-8 / 7-5 / 5
SHOULDER(right) / YES / NO
SHOULDER (left) / YES / NO
PUSH-UPS / 15+ / 14-10 / 9-5 / 4-2 / <2
CURL-UPS / 35+ / 34-30 / 29-25 / 24-20 / <20
Test 2 (5% Improvement)
20 points / 15 points / 10 points / 5 points / 0 pointsPACER / 64+ / 63-43 / 42-32 / 31-22 / <22
ONE MILE / >7:55 / 7:54-9:30 / 9:31-11:30 / 11:31-13:30 / <13:30
SIT-N-REACH / 13+ / 12-11 / 10-9 / 8-6 / 6
SHOULDER(right) / YES / NO
SHOULDER (left) / YES / NO
PUSH-UPS / 17+ / 16-11 / 10-6 / 5-3 / 3
CURL-UPS / 38+ / 37-33 / 32-27 / 26-22 / <22
Test (10% Improvement)
20 points / 15 points / 10 points / 5 points / 0 pointsPACER / 67+ / 66-46 / 45-35 / 34-25 / <25
ONE MILE / >7:50 / 7:49-9:25 / 9:24-11:25 / 11:24-13:25 / <13:25
SIT-N-REACH / 14+ / 13-12 / 11-10 / 9-7 / 7
SHOULDER(right) / YES / NO
SHOULDER (left) / YES / NO
PUSH-UPS / 18+ / 17-12 / 11-7 / 6-4 / 4
CURL-UPS / 40+ / 39-35 / 34-30 / 29-25 / <25