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PhysEd Self Assessment

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

I like to try a variety of activities each week.

a)

Yes, daily

b)

Yes, a few different activities a week

c)

Sometimes I mix up my physical activities

d)

occasionally I will try something different to be active

2.

It's important for me to improve my physical skills and abilities.

a)

Very important

b)

Fairly important

c)

Somewhat important

d)

not really important

3.

I am coordinated when throwing, catching, kicking, or bouncing a ball; or in activities like skipping, dancing, or gymnastics.

a)

Very

b)

Fairly

c)

A little

d)

not really

4.

I can balance when standing on one foot, or riding a bike.

a)

Very

b)

Fairly

c)

A little

d)

Not really

5.

I can do activities that require me to jog, run, jump, or move a lot for more than 30 minutes without getting tired.

a)

Easily

b)

Sure

c)

Somewhat

d)

No way

6.

I get my heart rate up...

a)

everyday

b)

4 or more times a week

c)

3 or more times a week

d)

less than 2 times a week

7.

I like to use my imagination to create fun physical challenges like building an obstacle course, or creating a dance routine, or inventing a new sport-style game.

a)

I love to create my own activities!

b)

I like to create imaginative activities

c)

I don't mind creating activities

d)

If I had more ideas, maybe?

8.

I eat a variety of vegetables and fruits...

a)

Everyday, this is very important to me

b)

Most days, I know it's good for me

c)

Sometimes when I have to

d)

Yuck!!! No way, no how.

9.

I choose to eat whole grain, oats, or other heart healthy grains, brown rice and/or whole wheat pasta. quinoa, barley etc....

a)

Yes, everyday!

b)

Yes, most of the time!

c)

Sometimes. Sometimes I have processed/white/bleached pasta/rice/grains

d)

I only eat white bread, pasta, and/or rice

10.

I eat healthy, portioned amounts of food because it makes me feel good.

a)

Yes, I really notice how much food affects my energy and attitude. I am very strict.

b)

Yes I agree, and I also feel good about the occasional treat!

c)

Sometimes. I want to make more of an effort to eat healthy foods in the right amount.

d)

It doesn't make a difference in how I feel, I like to eat what I want, when I want and how much I feel like having.

11.

I drink 7-8 cups of water each day.

a)

Always.

b)

Most of the time!

c)

I mix it up between water, juice, pop, milk etc.

d)

My parents always tell me to drink more water- but I don't really like it!

12.

I do strengthening exercises such as lifting weights, doing pushups or sit ups, chin ups, or my own body weight to make my muscles strong and lean!

a)

Yes, this is a part of my weekly rotation because it helps me improve my skills at (skating/sports/dancing/martial arts).

b)

Yes I do strengthening activities weekly.

c)

Sometimes, but it sure is hard!

d)

Huh? people do this? why?

13.

I limit the amount of junk food I eat.

a)

I almost never have junk food.

b)

I have junk food once a week.

c)

I have junk food up to 3 times a week.

d)

Junk food IS my diet.

14.

I want to live a healthy and active lifestyle because...

a)

It makes me feel good and gives me lots of energy.

b)

I want to look good, and I want to be active to keep up with friends.

c)

I want to, but I have a lot of obstacles in the way to living the lifestyle I would prefer.

d)

I don't really think much about this, it's not really something I can control.

15.

If somebody is overweight, it is ...

a)

Totally cool! Healthy and active people come in all shapes and sizes.

b)

important to accept and celebrate our uniqueness and focus on feeling good!

c)

Fine! If they eat a bit better and exercise more they will probably lose weight and be healthier.

d)

Super hard for them, they probably feel bad about eating too much and wish they had more energy.

16.

The other team defeats your team. You....

a)

notice the strategies they used and focus on ways to improve your game.

b)

are a bit mad, but make sure to say congrats.

c)

don't really mind, it's just a game. Sometimes you win, sometimes you lose.

d)

lose your cool. You HATE losing. They totally cheated.

17.

You finally get to use the tire swing, after Debbie has hogged it all recess. After 5 minutes, Debbie wants her turn. You...

a)

are happy you got your turn then go find something else to do.

b)

say loudly to your friends how annoying some people are, but give her the swing after your time is up.

c)

Count 30 seconds past your turn and then hop off. You wait at the pole, giving Debbie the stink eye. See how she likes it.

d)

scowl at Debbie, but keep swinging. You plan on enjoying two turns worth. Maybe three.

18.

Your gym teacher expects you to do 5 laps around the entire school yard. You...

a)

are glad you have been practicing endurance, pace yourself and power through the finish with your best time yet.

b)

plan on finishing first, give it your all- then tire out on the last two laps. Next time gadget, next time.

c)

cut across the field when they aren't looking, and come in first. Woohoo!

d)

chat with your friend and walk around the field once, maybe twice.

19.

Picking team for soccer, you pick...

a)

random people to mix it up, and make it fair.

b)

only kids who are awesome at soccer. Winning!

c)

your friends, cause they're awesome.

d)

don't care, don't like sports or physical activity.

20.

In health, a kid in your class said that they struggle with negative thoughts because they believe they are not good in school, sports, or anything.

Pick the statement you agree with:

a)

just because you think it, doesn't make it true. Checking your thoughts with a trusted person is a good strategy.

b)

healthy thinking habits don't mean we always think positive, happy things. We need to learn how to train our brain.

c)

thoughts become actions, and actions become our path.

d)

all of the above.

21.

Physical activity is important because...

a)

it produces chemical reactions in your body that make you happy and more energetic.

b)

it improves your memory, attention span and ability to learn.

c)

it helps you fight illness, disease, and makes your body healthier.

d)

all of the above.

22.

I take time to relax, breathe and rest.

a)

Daily

b)

Often

c)

Sometimes

d)

Occasionally

23.

Mindful breathing is ...

a)

Very important to my health and wellbeing.

b)

Useful, when I remember to use it.

c)

a bit hard for me, I get fidgety but wouldn't mind improving.

d)

what? huh?

24.

How true is this statement for you:

I am aware of the needs of my body and make sure to get enough sleep, drink water, eat healthy and be active.

a)

Extremely.

b)

Very.

c)

Mostly.

d)

Somewhat.

25.

Your teacher asks your parent(s)/guardian(s) if you take care of your belongings, such as running shoes and sports equipment. What do they say?

a)

.... you are very responsible and respectful.

b)

... you are pretty responsible.

c)

.....most of the time.

d)

....you often lose your stuff, and/or are pretty rough on your belongings.