Physical Activity/pedometer Log
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1Physical Activity/Pedometer Log
WEEKLY GOAL: _____________________________________________________________
DATE: ________
Activity Goal
Steps taken using a
Type of Physical
Activity Time in
Goal Met
pedometer
Activity
Minutes
Y/N
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Record all physical activity along with the steps taken each day if using a pedometer. Record how long you were
active and for how long you planned to be active. Record Y (yes) or N (no) if you met your daily goal. Share this
information with your MOVE! healthcare team, and use it to set future goals.
P25 Version 3.0
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Parent category: Miscellaneous