Activity Log: Designing Your Own Fitness Program Page 2
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1
2MONTH: _____________________
LOG #(1-12) ____________
Date:
Date:
Date:
Date:
Date:
Date:
Mode
Monday
Tuesday
Wednesday
Thursday
Friday
Sat/Sun
Resting Heart
Rate (bpm)
before exercise
(i.e. 70 bpm -
beats per minute)
Aerobic Activity
Type
(3 x week)
Duration
Minutes
Exercise Heart
Rate (bpm)
take during or
right after activity
should be 60-90%
of max.
(i.e. 123-185 bpm)
Recovery Heart
Rate (bpm)
take three min.
after exercise.
Other
(i.e. weight lifting,
stretching, push-
ups, sit-ups, yoga)
Duration
Minutes
Reflection Journal:
In a paragraph, reflect on activities performed this week. Explain the positive and/or negative
aspects of your workouts this week. (i.e.: How I felt, did I improve, is my recovery heart rate
improving, which activities were most beneficial, goals, etc.)
Student Signature: ____________________________________ Date: _________________
I certify that the above student performed and accurately recorded the amount of time spent on the listed activities.
Parent/Guardian Signature: ______________________________Date: _________________
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Parent category: Medical