Couched in attitude theory, this follow-up study examines children-voiced perceptions of "enjoyment" and "usefulness" toward a "district mandated" elementary physical education (PE) program. Attitudes of 277 5th and 6th grade males and females from four representative schools from within a district were assessed in a mixed methods study. Survey results were analyzed to examine between groups, schools (based on SES), and gender differences. Twelve males and twelve females were selected from lowest and highest survey responders for follow-up interviews. Survey results indicated a generally positive attitudes (enjoyment: M = 2.71, SD = 0.35; usefulness M = 2.69, SD = 0.35) with significant enjoyment differences (F(3, 266) = 5.627, p = 0.001) noted between schools. Qualitative results define quality PE as "enjoyable" and "useful" when it (a) provided a fun, social, learning environment and activities, (b) made an impact on healthy knowledge and behaviors, and (c) consisted of well managed classes taught by engaging teachers.