NAME: _____________________________

BLOCK: ____ TERM: ___

E P D R
100-93-88 84-80-75 72-65-60 55>
Physical Literacy - Participates at their - Participates at a - Participates at a - Participates at a
maximum level all of high level or the best moderate level most of satisfactory level/not
the time and is of their ability all of the time/not always to to best of ability and is
always prepared the time and is the best of their ability usually prepared
- Works toward always/ usually and is usually prepared - Works toward
improving/ prepared - Works toward improving skill level
maintaining skill - Works toward improving skill level with satisfactory effort
level with vigorous improving skill level with moderate effort
effort with high effort
Healthy & Active Complete all fitness Completes all fitness Completes all fitness Completes fitness
components at their components at a components at a components at a
Living maximum activity high level or to the moderate level/ not satisfactory level/not
level best of their always to best of their to the best of their
individual ability all individual ability individual ability
the time
Social & Community Displays proper Displays proper Displays proper safety Displays
safety procedures, safety procedures, procedures, moderate proper/improper safety
Health excellent high cooperation cooperation and some procedures,
cooperation and and leadership leadership satisfactory
exceptional cooperation and little
leadership skills or no leadership skills
Mental Well-Being - Always displays - Displays control of - Displays control of - Displays control of
control of emotional emotional well-being emotional well-being emotional well-being
well-being (stress, (stress, anxiety, (stress, anxiety, anger) (stress, anxiety,
anxiety, anger) anger) almost all the most of the time anger) sometimes
- Positively engages time - Positively engages - Positively engages
actively with all - Positively engages actively with all actively with all
members of the actively with all members of the class members of the class
class members of the most of the time sometimes
class almost all the
time
E= Exemplary (Superlative & exceptional. Consistently meets the highest expectations)
P= Proficient (Competent & skilled. Meets all general expectations)
D= Developing (Maturing & progressing. Meets expectations at a satisfactory level)
R= Rudimentary (Elementary & undeveloped. Beginning to meet expectations at a preliminary level)
engths (What did I do well? What am I proud of?):

provements (What do I need to work on? Where should I focus?):

xt Steps (Whats next? Set a S.M.A.R.T goal for next term!) *set one specific goal. Just one!
CIFIC MEASURABLE ATTAINABLE RELEVANT TIMELY

do you specifically want to how can you measure your progress is this something realistic for you to how is this relevant to your physical when do you want to achieve you
mplish over time achieve education class goal by

dback to Ms. Blouin regarding the term (Anything you really enjoyed? Anything you would change? How can we make our PE class better?):

DENT SIGNATURE: ___________________________________________ DATE COMPLETED: _____________________

CHER FILLS
__________________________________________________________________________________________________________________________________________________________
_____________

SSES MISSED (TOTAL ALL TERMS): ____________ CLASSES MADE UP : _______

her fills out Teacher fills out
/3 - T1: 26 T2: 27 T3: 35 = 88
/4 - T1: 26 T2: 28 T3: 34 = 88

SSES LATE: __________ CLASSES ATTENDED WITH NO STRIP: _________

her fills out Teacher fills out