Request edit access
P.E.-2- Health Inventory (McNulty)
PERIOD 2
Sign in to Google to save your progress. Learn more
Clear selection
The P.E. department would appreciate if you answered the following questions as honest as possible. All Wellness Inventory answers are confidential. There are no right or wrong answers. This Inventory allows the P.E. department to evaluate the needs of the Sparks Middle School students, which will allow the department to assess the P.E. curriculum and revise if necessary.
Write your First Name on the line below- *
Write your Last Name on the line below- *
Choose what period you have P.E. from the list- *
Choose what grade you are in from below- *
1. I have family members or friends that smoke cigarettes around me. *
2. I feel good about my body. *
3. I have power/control to make things go well in my life. *
4.When I feel tense, angry, upset, and or anxious, I have the skills to help calm myself down. *
5. It is easy for me to give true complements to others? *
6.I like myself and look forward to the rest of my life. *
7.I can ask for help when needed? *
8. I enjoy getting, and can acknowledge, complements from others? *
9.I easily express concern, love, and warmth. *
10. It’s easy for me to pay attention in class? *
11. I think my diet is well balanced and wholesome. *
12. I enjoy being physically active? *
13.I am able to handle my anger when it arises. *
14. I communicate my thoughts and ideas well?   *
15.I have goals that I am working towards in my life. *
16.I exercise at least twice a week? *
17.I have goals that I strive for every week. *
18. I can make choices about my rate of recovery from an illness or injury? *
19. Exercise is important to me. *
20. I try hard to take care of my physical health. *
21. When I am emotionally troubled, I have someone that I can talk to. *
22. I use dental floss and a soft toothbrush daily. *
23. I rather eat a home cooked meal than eat at a fast food restaurant. *
24. I understand the difference between blaming myself for a problem and simply taking responsibility for that problem. *
25. I can easily bend over and touch my hands to my toes when standing with my knees straight. *
26. I drink fewer than 5 soft drinks (sodas) per week. *
27. I enjoy how my body feels after exercising. *
28. Instead of blowing up and letting my anger get the best of me, I attempt to release my anger by doing physical activity. *
29. I would rather be outside participating in a fun activity than being inside and watching TV/Screen time. *
30. In a typical week, I eat less than 3 microwavable or ready-made meals. *
31. I would join a fitness club if I had the time or the money. *
32. I eat a cup size or more of vegetables with each dinner.
Clear selection
33. I get enough sleep each night.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Washoe County School District.

Does this form look suspicious? Report