I completed the Mile Run Fitness Test in __________ minutes. *
Choose
13:00 or above
12:00 - 12:59
11:00 - 11:59
10:00 - 10:59
9:30 - 9:59
9:00 - 9:29
8:30 - 8:59
8:00 - 8:29
7:30 - 7:59
7:00 - 7:29
6:45 - 6:59
6:30 - 6:44
6:15 - 6:29
6:00 - 6:14
5:45 - 5:59
5:30 - 5:44
5:29 or below
I was able to run/jog the entire mile (without walking). *
Choose
Yes
No
I achieved _______ components and earned ______ (grade) on the Mile Run Fitness Test. *
Components: *on grade level *jog entire mile *finished in 12:00 or less
Choose
3/3; 100%
2/3; 90%
1/3; 80%
0/3; 70%
Fill in your Rate of Perceived Exertion (RPE) level for EACH lap completed. *
RPE Level 1
RPE Level 2
RPE Level 3
RPE Level 4
Lap 1
Lap 2
Lap 3
Lap 4
RPE Level 1
RPE Level 2
RPE Level 3
RPE Level 4
Lap 1
Lap 2
Lap 3
Lap 4
My goal for the next Monday Mile is _________. *
Choose
13:00 or above
12:00 - 12:59
11:00 - 11:59
10:00 - 10:59
9:30 - 9:59
9:00 - 9:29
8:30 - 8:59
8:00 - 8:29
7:30 - 7:59
7:00 - 7:29
6:45 - 6:59
6:30 - 6:44
6:15 - 6:29
6:00 - 6:14
5:45 - 5:59
5:30 - 5:44
5:29 or below
I currently participate in the following activities: *
Check all that apply.
Required
Answer the following questions based on the Frequency, Duration, and Intensity of your workouts. Answer these questions based on activities performed outside of ACE PE.
How many days per week do you participate in activities (outside of PE) that increase/maintain your fitness level? *
Choose
1-2 days
3-4 days
5-7 days
How many minutes per day do you participate in activities that increase/maintain your fitness level? *
Choose
0-10 minutes
11-20 minutes
21-30 minutes
31-60 minutes
60 + minutes
Average intensity (RPE level) of your workouts and/or activities. *
Choose
low (RPE level 1)
moderate (RPE levels 2-3)
high (RPE level 4)
Submit
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