Activity Course Assessment Form
Please complete this survey based on the experiences you have had in this course
Class Category
Aquatic
Dance
Fitness
Individual/Dual Sport
Leisure
Team Sport
1. To what extent do you believe you developed an appreciation for physical activity as a way to enhance your mental, physical, and social well-being?
Strongly Believe
Believe
Neutral
Disbelieve
Strongly Disbelieve
2. To what extent do you believe you are interested in future participation in physical activity?
Strongly Believe
Believe
Neutral
Disbelieve
Strongly Disbelieve
3. To what extent do you believe that you understand the importance of being physically active for a lifetime?
Strongly Believe
Believe
Neutral
Disbelieve
Strongly Disbelieve
4. To what extent do you believe you have confidence in setting goals and working toward achievement of a healthy lifestyle (being physically active)?
Strongly Believe
Believe
Neutral
Disbelieve
Strongly Disbelieve
5. To what extent do you believe you have newly developed skills and knowledge to aid in your continued participation in this activity?
Strongly Believe
Believe
Neutral
Disbelieve
Strongly Disbelieve
6. To what extent do you agree that physical activity is an opportunity for challenge?
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
7. To what extent do you agree that physical activity is an opportunity for enjoyment?
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
8. To what extent do you agree that physical activity is as an opportunity for self-expression?
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
9. To what extent do you agree that physical activity is as an opportunity for social interaction?
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree
10. To what extent do you believe that physical activity is an opportunity for health?
Strongly Agree
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Strongly Disagree