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Slem-P.E and Health 11 WEEK 1-2: YES NO
Slem-P.E and Health 11 WEEK 1-2: YES NO
E AND HEALTH 11
WEEK 1-2
STEM 1104 – Diomampo, Alyssa Shamel C.
Activity 1 - Getting ready for Physical Activity
YES NO
✓ 1. Has your doctor ever said that you have a heart condition and that you should only
do physical activity recommended by a doctor?
✓ 2. Do you feel pain in your chest when you do physical activity?
✓ 3. In the past month, have you had chest pain when you were not doing physical
activity?
✓ 4. Do you lose your balance because of dizziness or do you ever lose consciousness?
✓ 5. Do you have a bone or joint problem (for example, back, knee, or hip) that could be
made worse by a change in your physical activity?
✓ 6. Is your doctor currently prescribing drugs (for example, water pills) for your blood
or heart condition?
✓ 7. Do you know of any other reason why you should not do physical activity?
Activity 2.
1. What is your overall physical activity level?
__________Very Active _____✓_____Active
__________ Moderately Active __________Sedentary Lifestyle
2. What about your current cardiovascular fitness level? When you do cardiovascular activities like
running, swimming, cycling, etc. what do you feel?
_____✓_____ Excellent __________Good Average
__________Fair __________Very Low
3. Describe your flexibility level.
__________Very Flexible _____✓_____Somewhat Flexible
__________Not at All
4. How will you rate your muscular strength/endurance level?
__________Very Strong __________Strong
_____✓_____Moderately Strong __________Not Very Strong
5. If you were to start a regular exercise program, what would be your priority fitness goals be?
__________Appearance ____✓______General Health __✓_____Self-Esteem
_____✓_____Free from Sickness __________Cardiovascular Endurance
__________Muscular Definition __________Lose Weight __________Reduce Body
Fat
__________Flexibility __________Improve Posture _____✓____Reduce Stress
Level
__________Sports Performance Others: __________
Activity 2. Self – Assessment Card: Health-related fitness status
1. Body composition
Test BMI Result Interpretation Analysis
BMI
Waist to hip Ratio
2. Cardiovascular Endurance