Health and PE Survey 15-16

Hampton City Schools
Health and PE EVALUATION SYSTEM STUDENT SURVEY:
GRADES 4 – 5

Directions: The Health and Physical Education teacher is asked to read the following statements carefully, then request that the children respond to the statements by circling the letter which shows whether they agree with that sentence. The letter ‘Y’ means yes, the letter S means "sometimes," and the letter N means "no."
Name: 


A red asterisk (*) indicates required questions.

  1. My health and PE teacher listens to me.   *


  1. My health and PE teacher gives me help when I need it.   *


  1. I know what I am supposed to do in PE.  *


  1. I learn new things in PE.  *


  1. I feel safe in PE.  *


  1. I like going to PE.  *


  1. My PE teacher explains the benefits of physical activity.  *


  1. My health and PE teacher makes sure time in PE is used for teaching, learning, and exercising.   *


  1. My health and PE teacher shows respect to all students.   *


  1. My PE teacher enforces disciplinary rules fairly and consistently.   *


  1. Comments:*





Ms. Finney
Phenix PreK-8 School
Hampton, VA