The primary goal of this research was to assess how physically active pre-school children are and to assess the time spent in sedentary activities (in front of screens), and to assess the level of development of fine motor skills. The secondary goal is to examine the existence of differences in the level of development of fine motor skills with regard to children's involvement in organized kinesiology activities. 34 girls and 26 boys between the ages of 4 and 7, a total of 60 children, and their parents participated in the research. The children were tested with a fine motor skills test, and the parents with a questionnaire. The data were processed in the Statistica 14.0.0 program. Basic descriptive indicators and frequencies of answers to individual questions were calculated. The Mann-Whitney U test was used to assess the differences in attitudes about the importance of physical activity between parents whose children participate and parents whose children do not participate in organized sports activities. According to the obtained results of the fine motor test, it is evident that the children solved the tasks on average, and the best results were achieved in touching the fingers with the thumb. More and more children are replacing being outdoors with games on mobile phones and computers, but the results show that hanging out with friends and playing outdoors are still their primary activity. The survey results show that parents agree on the importance of physical activity for overall growth and development. In order to reduce the level of obesity and the influence of screens, and increase the development of gross and fine motor skills, children need to be encouraged to be physically active, and only slightly more than half of the children in the study participate in organized physical activities. It is very important for parents to be aware of the importance of physical activity for children, and according to the results, not even half of parents spend more than 2 times a week playing with their children. By their actions, parents must set an example for their children and show them that physical activity and a healthy diet are factors that greatly influence the development of healthy habits for the future. Directly or indirectly, physical activity affects the function of all organs in the body, which makes it one of the most important factors for a child's healthy development. The modern lifestyle is changing the lifestyle habits of adults and even children, and technology will play a much bigger role in their lives in the future, because its current influence has greatly increased compared to ten years ago. Therefore, it is necessary to encourage children to be physically engaged, in order to develop an active lifestyle as much as possible, while reducing a sedentary lifestyle.