Personal Physical Fitness Plan Page 2
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10Laguna Middle School
Physical Education Department
2
Personal Fitness Pre-Assessment
Name ________________________________
Period 1 2 3 4 5 6
Date ___________
INSTRUCTIONS: Please answer the following questions in complete sentences.
Please put quality thought and effort into each of your answers. There is no right or wrong answers.
1. Currently, how would you rate your own fitness level from 1 to 10 with 10 being the highest ranking? Explain your rating.
Are you satisfied with your fitness level? Why or why not?
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Rating-
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2. What sports or fitness activities do you enjoy participating in and why?
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3. What type of fitness activities/sports do your parents/guardians participate in?
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4. How would you rate your overall nutrition from a 1-10 with 10 being the highest rating (good eating habits)?
Explain your rating. Are you satisfied with your overall nutrition balance? Why / why not?
___________________________________________________________________
Rating-
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5. Which one of the Fitness Components do you need to improve the most? Why?
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6. Which one of the Fitness Components do you feel is the strongest? Why?
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7. If you had to select ONE thing about nutrition that you could improve, what would it be? Why?
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Pg 2
Rubric Score
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