3.05
Fitness Activity Record Sheet

Complete the chart as directed.

1. Columns 1 – 3: You MUST include the date(s), scores and the goals you indicated in your first attempt for Module 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 Module 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 Lesson 3.05: Save your completed log and attach it in the Assessments area for your instructor to grade.

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4
5
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8
9

Module 1.04
Module 1.04
Module 1.04
Module 3.05
Module 3.05
Module 3.05
Module 3.05
Module 8.01
Module 8.01
Name of Fitness Test
10/15
1.04 Fitness scores
Goals for 3.05
Date of Fitness Test
3.05
3.05
Fitness
scores
Goals
for
8.01
Standard for your age
Date of Final Test
8.01
Scores for Final Test

Mile Run/Walk

10/15
6:00
5:30
11/22
5:52
5:25

Curl-ups

10/15
30
36
11/22
36
36

Pull ups or Push ups
10/15
43
56
11/22
45
50

Sit-and-Reach
10/15
30
38
11/22
38
31

Calculated Body Mass Index (BMI)
10/15
18
17
11/22
22.6
22

Answer Questions Below

3.05
Reflection Questions

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

1. Did your scores from EACH activity improve from lesson 1.04? Why or why not?

a)Mile run – yes it did, but I have just finished my season so my mile time wasn’t as