DE LA SALLE LIPA

Integrated School
Health and Wellness Program for Students

My Physical Fitness Activity Log

Name of Student: Mindanao, Micoelo Section: S11-17

Name of Guardian: Arlene Mindanao

BMI Height Weight Result Classification

Pretest 152.4cm 45kg <18.5 Underweight
Post Test 152.4cm 45kg <18.5 Underweight
Note: Post Test – leave it blank. You will fill it up during the end of the 2 nd semester

Week TASKS REMARKS REASON/S

No./Date A- FOR NOT
accomplished ACCOMPLISHI
PA - partially NG THE
accomplished TASKS
NA - not
accomplished

Week 1 (SAMPLE)
Sept 12-16 Warm up
Head to Toe Stretching
Main Task
Walking
Jogging
Lunges
Cool Down
 Head to Toe Stretching

Week 2 Warm up A
Jogging
Main Task
Basketball
Cool Down
Stretching

Week 3 Warm up A
Squats
Main Task Cool
Badminton
Cool Down
Slow jog

Week 4 Warm up A
Walking
Main Task
Cycling
Cool Down
Heel press

Week 5 Warm up A
Jumping jacks
Main Task
Badminton
Cool Down
Seated forward bend

Week 6 Warm up A
Side shuffles
Main Task
Fast-paced walking
Cool Down
Side reach

Week 7 Summative
Assessment Week

_______________________
 Week 2 Week 3
Parent’s/Guardian Signature

Week 4
Week 5 Week 6