Monday 38
2:45-4:05pm
PE NO.
PERSONAL FITNESS PLAN PE SCHEDULE
NAME: ___VERZON, RENZO S.______________________ DATE: FROM _APRIL_________ TO
_JUNE_________
FITNESS GOAL: __BALANCING________________________________________________________
Dietary Goal: __BALANCING EXERCISE_________________________________________________
Lifestyle Change:
(optional)_____________________________________________________________________
PHYSICAL FREQUENCY INTENSITY TYPE TIME Set
ACTIVITY
How often do I How hard do I What specific physical activity do I perform? How long do I perform How many times are
perform the physical perform the physical the physical activity? going to perform the
activity? activity? activity?
Warm up and
Stretching Every Moderate Jogging or Walking 4:00-4:20 1 set
(head to foot) morning
Workout proper
Every Moderate Jumping jacks/ Jump 4:21-4:35am 2 sets
morning rope
Workout proper
Every Moderate Push ups 4:36-4:46am 2 sets
morning
Workout proper
Every Moderate Crunches 4:47-4:57am 2 sets
morning
Workout proper
Every Moderate Burpees for full body 5:00-5:20am 2 sets
morning workout
Workout proper
Every Moderate Bike rides 5:30-8:30am 1 set
morning
Cool down
(head to foot) Every Moderate Arms, Chest, Legs, Core 8:40-9:00am 1 set
morning Stretching.
Breathing exercise
Remarks:
RUBRIC ON
Personal Fitness Plan (20 points)
20 points 15 points 10 points 5 points 0 points
Complete Insufficient Insufficient Insufficient None
information was information was information information was submission
provided (41 items) provided by the was provided provided by the
- Basic information student. Lacks 1 by the student. student. Lacks
(PE schedule, PE to 10 out of 41 Lacks 11 to 20 21 to 30 out of
number, Name, required out of 41 41 required
Date) information required information
- Fitness goal
information
- Dietary goal
- 7 Frequency
- 7 Intensity
- 7 Types of
activities
- 7 Time
- 7 Set
RUBRIC ON
PERSONAL GOAL ACHIEVEMENT
30 points
Excellent Very Good Good Fair Poor
30 25 20 15 10 0
Level of Achieved Achieved Accomplished Maintained No set goals Non
Achievement beyond what what is below what is current participation
is expected expected expected fitness status