Pedometer Take Home Program

Todd Keating
Physical Education - River Woods


Wear your pedometer for 7 days.  Fill out this form to track your activity levels throughout the week.

Please provide the following information:

Name
E-mail
Classroom Teacher
Grade level  
 
  1. How many steps did you take on Monday? 

...Tuesday?   

...Wednesday?   

...Thursday?   

...Friday?       

...Saturday?   

...Sunday?   

 

How active were you on Monday? 

...Tuesday?  

...Wednesday?  

...Thursday?  

...Friday?  

...Saturday?  

...Sunday?  

 

 
  1. Did you do any after-school, organized activities during the week (i.e. soccer, basketball, football, gymnastics, etc.)?
    Check all that apply.
Monday     Tuesday    Wednesday  Thursday 
Friday     Saturday   Sunday     
  1. List some of the activities that you did.
    

  1. Did you do any activities with your parents?  
    Check all the days that you were active with at least one of your parents.

Monday     Tuesday    Wednesday  Thursday 
Friday     Saturday   Sunday     
  1. List some of the activities that you did with your parent(s).
    
  1. What day was your most active day?     Why?
  2. What day was your least active day?     Why?
  3. List 3 activities you could do to increase your physical activity on your least active days.
    
  4. What did you learn from wearing your pedometer every day?
    
  5. Parent Comments (What is your child’s favorite activity? What did you think of this program?)

 

  

Colleen Cannon-Ruffo.
Copyright © 2005 [Naperville CUSD 203]. All rights reserved.
Revised: 01/30/06