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GRADES 8 - 12
MONITORING ENERGY EXPENDITURE

SWIM ASSESSMENT FORM

Name: __________________________ Date: _______________

Resting Values

Heart Rate Estimated HRmax
(Heart Rate Maximum)
Estimated (fastest) 1 Lap Time

Swimming Test

Protocol: Four stages are used for this test. A heart rate is taken at the end of each stage and recorded on the form below. The student should swim the first stage rather slowly with each stage getting progressively faster. Stage 4 should be an "all out" effort. There is a 90 second rest between stages. The time it took to complete each stage is timed and recorded.

Stage Time (in minutes) Distance (yards or miles) Heart Rate
1
2
3
4
Recovery 3 min. LIGHT

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