ST.

VINCENT COLLEGE OF CABUYAO

Mamatid, City of Cabuyao, Laguna
S.Y.: 2020 – 2021

SENIOR HIGH SCHOOL DEPARTMENT

MODULE (1st Sem)
PE and health – 11

I. MODULE 1

ACTIVITY:

A. Physical Activity Questionnaire: The following questions will help you analyze your physical activity
preference and habits. It will help you make decisions concerning your health and fitness level. THIS IS NOT A
TEST. Answer the questions as honestly as possible and use the scoring guide to help you assess your physical
activity level.

1. In the past week, how active were you d. performing high intensity sports, games,
during your PE class? and dance
a. I did not join the PE class. 5. In the past week, how many hours in a day
b. I just stood/walked around during class. did you spend playing video games or
c. I ran and played a bit. surfing the net?
d. I ran and played most of the time. a. More than 4 hours
2. In the past week, how many days were you b. 3 to 4 hours
active for at least 60 minutes? c. 1 to 2 hours
a. 0 d. Less than an hour
b. 1 to 2 days 6. In the past week, how many hours of your
c. 3 to 4 days weekend did you spend in moderate to high
d. 5 or more days intensity activities?
3. In the past week, how many days did you a. More than 4 hours
spend watching TV or playing video games b. 3 to 4 hours
for more than 2 hours? c. 1 to 2 hours
a. 5 or more days d. Less than an hour
b. 3 to 4 days 7. In the past week, how many minutes of your
c. 1 to 2 days PE class did you actually spend playing,
d. 0 dancing or moving?
4. In the past week, I spent most of my leisure a. Less than 15 minutes
time________. b. 15 to 30 minutes
a. reading books, watching TV, playing c. 31 to 45 minutes
video games, surfing the net and d. More than 45 minutes
sleeping 8. In the past week, how would you classify
b. walking the dog, helping with household your participation in various physical
chores, cleaning my room, and running activities?
errands a. Inactive
c. performing moderate intensity sports, b. Lightly active
games, and dance c. Moderately active
d. Very active
Scoring Guide:
1. Equate the following points for each response to the questions above:
a = 1 point c = 3 points
b = 2 points d = 4 points
2. Sum up all the points from each question.
3. Rate your score:
“Excellent” if your score is 24 and above.
“Good” if your score is 15 – 23.
“Needs improvement” if your score is 14 or lower.
B. Essay: Based on your score and your rating, write three things that you can improve on and why you chose
these three.
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Prepared by: Checked by:

MARIBEL S. CASIN, LPT KIMBERLY S. MAGBOO, LPT

P.E and HEALTH Teacher SHS Academic Coordinator

Approved by:

TEOFILO H. ORIO JR., LPT, MAEd

SHS Department Head