NAME:__________________________ GRADE/SECTION: __________________ H.O.PE.

SCHEDULE: ___________

TASK 1(Individual Task): MY PHYSICAL ACTIVITY, ROUTINE ACTIVITY LOG

(Note: Make this activity log for at least tow weeks)
DAYS(Indica No. of Identify if it is What do you feel after the
PHYSICAL ACTIVITIES -te the day, minutes Aerobic, activity?
(You list all the Physcal from Monday per Anaerobic, or
activities below.) to Sunday. week Flexibility
Example: Biking Sunday, Wed., 180 min. Aerobic I felt lighter and active
and Friday throughout the week.

____________________________________________ __________________________________________
NAME AND SIGNATURE OF PARENTS/GUARDIAN NAME AND SIGNATURE OF TEACHER
NAME:__________________________ GRADE/SECTION: __________________ H.O.PE. SCHEDULE: ___________

TASK 2(Individual Task): I LOVE MY BODY AND MY WEIGHT, Meals Menu Log
(Note: You make this Meals menu log for at least two weeks)
DAYS OF THE WEEK BREAKFAST LUNCH PLAN/MENU SUPPER Identify whether it
PLAN/MENU PLAN/MENU is healthy or
unhealthy
Example: Sunday 2 pcs. large hotdog 2 sliced of fried fish 1 pan of spaghetti
3 cups of rice 3 cups of rice 4 sliced of bread unhealthy
1 glass of coffee 1 glass of softdrink 1 glass of softdrink
Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

1. Have you experience eating street foods? How often in a month?

2. Have you dink plenty of water? How many glasses of water per day?

3. Have you experience skipping to eat your meals? What maybe your reason?

___________________________________________ ______________________________________
Name and Signature of Parents/Guardian Name and Signature of Teacher

MY FITNESS PROFILE in HEALTH AND SKILL-RELATED PHYSICAL FITNESS

Name:______________________________ Grade and Section: _________________ Date: ___________
Age: ______ Height(cm): _________ Weight(kgs): _______ Resting Heart Rate: ________
Maximum Heart Rate( MHR): __________ Target Heart Rate(THR): __________ BMI : __________
Fitness Test Pre- Interpretation Date Post - Interpretation Date Remarks
Test Test
CURL - UPS
PUSH UP
TRUNK LIFT
50m RUN/DASH
PULL UP
1 FOOT STAND
INTRUCTIONS:
1. FILLED UP THE INFORMATION IN PART A.
2. PERFORM WARM-UP BEFORE TAKING OR DOING THE FITNESS TEST.
3. PERFORM THE FITNESS TEST.
4. PERFORM COOL-DOWN EXERCISES AFTER THE FITNESS TEST.
NOTE: Please bring 500ml of potable water to reflenish body fluid, and bring extra attire for the fitness
Test.

___________________________________ ___________________________
Name and Signature of Parents/Guardian Name and signature of Teacher