Name:       School:      

Date:       Facilitator:      

1.01 Fitness Survey

Total Points: 27
Fitness Self-Assessment
Complete the Fitness Self-Assessment on the task page.
1. Enter your final score here:      
2. What does this score tell you about your fitness? (The final page of the assessment will help.)

     

Current Attitudes and Beliefs about Personal Fitness

Please state whether you agree, disagree, or are undecided about each of the following
statements.

3. Regular physical activity and exercise make me feel better.      

4. I have always enjoyed participating in physical activities and exercise.      
5. I enjoy physical education class.      
6. I feel that I am in good physical shape and would describe myself as physically fit.      
7. I like to workout with friends.      
8. I prefer to workout alone.      
10. I know how to design my own personal fitness program.      
11. I know the components of fitness and how to use them to stay fit for life.      
12. I believe I should workout with weights every week.      
13. I believe I should be active most days of the week.      
14. Being physically active can improve my health.      
15. Physical education should be required in all grades.       Explain why you feel this way.
     
16. Athletes, cheerleaders and band members should be excused from taking physical education.
      Explain why you feel this way.      
17. Every student who graduates from school should be required to pass a physical fitness test.
      Explain why you feel this way.      

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