9:10-11:20am 40

Tuesday
PE NO.
PERSONAL FITNESS PLAN PE SCHEDULE

NAME: ___YANGA, JAIRA G.______________________ DATE: FROM _APRIL_________ TO

_JUNE_________

FITNESS GOAL: __BALANCING________________________________________________________

Dietary Goal: __BALANCING EXERCISE_________________________________________________

Lifestyle Change:
(optional)_____________________________________________________________________

PHYSICAL FREQUENCY INTENSITY TYPE TIME Set

ACTIVITY
How often do I How hard do I What specific physical activity do I perform? How long do I perform How many times are
perform the physical perform the physical the physical activity? going to perform the
activity? activity? activity?
Warm up and
Stretching Every Moderate Jogging or Walking 5 minutes 2km
(head to foot) morning

Workout proper
Every Moderate Plank with flying arms 10 minutes 2 sets
morning

Workout proper
Every Moderate Rolling forearm side 10 minutes 2 sets
morning plank

Workout proper
Every Moderate Squats 5 minutes 1 set
morning

Workout proper
Every Moderate Standing crunch with 5 minutes 2 sets
morning under the leg clap

Workout proper
Every Moderate Step-ups for the lower 10 minutes 2 sets
morning body
 Cool down
(head to foot) Every Moderate Breathing exercise 5 minutes 1 set
morning

Remarks:

RUBRIC ON
Personal Fitness Plan (20 points)

20 points 15 points 10 points 5 points 0 points

Complete Insufficient Insufficient Insufficient None
information was information was information information was submission
provided (41 items) provided by the was provided provided by the
- Basic information student. Lacks 1 by the student. student. Lacks
(PE schedule, PE to 10 out of 41 Lacks 11 to 20 21 to 30 out of
number, Name, required out of 41 41 required
Date) information required information
- Fitness goal
information
- Dietary goal
- 7 Frequency
- 7 Intensity
- 7 Types of
activities
- 7 Time
- 7 Set

RUBRIC ON
PERSONAL GOAL ACHIEVEMENT
30 points

  Excellent Very Good Good Fair Poor  

  30 25 20 15 10 0
Level of Achieved Achieved Accomplished Maintained No set goals Non
Achievement beyond what what is below what is current participation
is expected expected expected fitness status