3.

05
Fitness Activity Record Sheet

Complete the chart as directed.

1. Columns 1 – 3: You MUST include the date(s), scores and goals you indicated in for 1.04. You will find these scores on your 1.04
fitness activity record sheet.

2. Columns 4 – 7: Perform each activity again and fill in columns 4-7 of the chart. Please include the date you completed each fitness
assessment, your score for each assessment and your goal for your final attempt in lesson 8.01. Be sure to
include the standards for your age/gender which can be found in the readings for 3.05.

3. Columns 8 – 9: Keep this log so you can complete columns 8-9 at the end of the course for Lesson 8.01.

4. Reflection Questions – Complete the reflection questions listed on page 2. This assignment will not receive full credit if the
reflections questions are not completed.

5. Submitting your Fitness Activity Record Sheet 3.05: Save your completed log and attach it in the Assessments area for your
instructor to grade.

1 2 3 4 5 6 7 8 9
Lesson Lesson Lesson Lesson Lesson Lesson Lesson Lesson Lesson
1.04 1.04 1.04 3.05 3.05 3.05 3.05 8.01 8.01
Date of
Date of
Date of 1.04 3.05 Final 8.01 Final
Name of Fitness Goals for Fitness Goals for Standard for
Fitness Test Fitness Fitness Fitness FitnessTest
Test 3.05 Test 8.01 your age
1.04 scores scores Test scores
3.05
8.01

Mile Run/Walk 1/26/23 11:03 10:00 3/2/23 10:42 10:00

Curl-ups 1/28/23 21 28 3/4/23 22 28

Pull ups
or 1/26/23 7 9 3/3/23 8 9
Push ups

Sit-and-Reach 1/26/23 23 25 3/4/23 23 25

Calculated Body
Mass Index 1/28/23 22 20 3/3/23 22 20
(BMI)

Answer Questions Below

 3.05
Reflection Questions

Part I: Using complete sentences, please answer the following questions for EACH of the 5 fitness tests.

1. Did your 3.05 fitness test scores from EACH activity improve from lesson 1.04?

a) Mile run yes

b) Curl ups yes

c) Push ups/Pull ups yes

d) Sit and Reach no

e) BMI no

2. Explain why you believe you are on track to achieve your fitness test goals or if adjustments to your goals will be needed.

Im somewhat on track with most things, but there are a few activities that I should practice more often.