Physical Education Assessment Portfolio K-5

Name: ______________________________
Gender: __________
Date of Birth: __________
ID #: __________
Graduation Year: _______
Health Concerns: __________________________________________________________________________________________________________________________
Grade Level
Kindergarten
1st Grade
2nd Grade
Report Card
_____%
____%
_____%
_____%
_____%
_____%
PE Exam
_____%
_____%
_____%
School
Body Mass Index
__________
____
Body Mass Index
__________
____
Body Mass Index
__________
____
Sit & Reach
__________
____
Sit & Reach
__________
____
Sit & Reach
__________
____
Fitnessgram
Curl Ups
__________
____
Curl Ups
__________
____
Curl Ups
__________
____
Push Ups
__________
____
Push Ups
__________
____
Push Ups
__________
____
PACER
__________
____
PACER
__________
____
PACER
__________
____
Hop, Jump, Gallop
____
Skip, Slide, Leap
____
Changes speeds & directions
____
Locomotors
Walks in a straight line
____
Travels in a variety of pathways
____
Dodge & flee
____
Shows big & small, short & tall
____
Static balance with symmetry
____
Static balance with asymmetry
____
Non-Locomotor
Shows curved, wide, narrow
____
Lands
____
Proper Sit & Reach Form
____
Uses dominant hand
____
Steps forward with opposite foot ____
Demonstrates shoulder rotation
____
Throwing
Rolls an object to target
____
Under throws an object to target ____
____
Catches a self-bounced object
____
Catches a self-tossed object
____
Catches a pass while stationary
____
Catching
Catches a rolled ball
____
Catches a pass that is bounced
____
____
____
Strikes with hand
____
Demonstrates proper grip
____
Striking
____
____
____
Kicks a stationary ball
____
Kicks a rolled ball
____
____
Kicking
____
____
____
____
Transfer body weight
____
Tumbling combination
____
Other
____
____
____
Identifies body parts
____
____
____
Health
____
____
____
____
____
____
Basic PE Vocabulary/Literacy
____
Basic PE Vocabulary/Literacy
____
Basic PE Vocabulary/Literacy
____
Cognitive
____
____
____
Good Sportsmanship
____
Good Sportsmanship
____
Good Sportsmanship
____
Cooperative Teamwork
____
Cooperative Teamwork
____
Cooperative Teamwork
____
Affective
Positive Attitude
____
Positive Attitude
____
Positive Attitude
____
Effort in Participation
____
Effort in Participation
____
Effort in Participation
____
Principles of Safety
____
Principles of Safety
____
Principles of Safety
____
Rubric

A = approaching the standard

M = Meeting the standard

E = Exceeding the standard

Physical Education Assessment Portfolio K-5

Name: ______________________________
Gender: __________
Date of Birth: __________
ID #: __________
Graduation Year: _______
Health Concerns: __________________________________________________________________________________________________________________________
Grade Level
3rd Grade
4th Grade
5th Grade
Report Card
_____%
____%
_____%
_____%
_____%
_____%
PE Exam
_____%
_____%
_____%
School
Body Mass Index
__________
____
Body Mass Index
__________
____
Body Mass Index
__________
____
Sit & Reach
__________
____
Sit & Reach
__________
____
Sit & Reach
__________
____
Fitnessgram
Curl Ups
__________
____
Curl Ups
__________
____
Curl Ups
__________
____
Push Ups
__________
____
Push Ups
__________
____
Push Ups
__________
____
PACER
__________
____
PACER
__________
____
PACER
__________
____
Pacing
____
____
____
Locomotors
____
____
____
Proper Curl Up Form
____
Proper Push Up Form
____
____
Non-Locomotor
____
____
____
____
____
____
Throwing
____
Bowls with a 3 step approach
____
____
____
____
____
Catching
____
____
Catches a pass while moving
____
____
Volleys with a racquet
____
____
Striking
____
____
____
____
Punts a ball
____
Place kicks a ball
____
Kicking
____
____
____
____
____
____
Other
____
____
____
____
____
Names & locates 10 bones
____
Health
____
____
Names & locates 10 muscles
____
____
____
____
Basic PE Vocabulary/Literacy
____
____
____
Cognitive
____
____
____
Good Sportsmanship
____
Good Sportsmanship
____
Good Sportsmanship
____
Cooperative Teamwork
____
Cooperative Teamwork
____
Cooperative Teamwork
____
Affective
Positive Attitude
____
Positive Attitude
____
Positive Attitude
____
Effort in Participation
____
Effort in Participation
____
Effort in Participation
____
Principles of Safety
____
Principles of Safety
____
Principles of Safety
____
Rubric

A = approaching the standard

M = Meeting the standard

E = Exceeding the standard