Daily Log Sheet

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BETTER HEALTH - One Step at a Time
2014 Challenge Yourself - Walk/Exercise Program
DAILY LOG SHEET
Track the minutes you walk each day on this form. Submit completed form at the end of the program to your
on-site employee health and wellness representative to be entered into the July drawing for prizes.
Employee Name: ________________________________________
Department: _______________________________
WALKING PROGRAM WEEK 1
My goal for the week: ___________________
Weekly Goal - 90 minutes
Monday 6/2
Tuesday 6/3
Wednesday 6/4
Thursday 6/5
Friday 6/6
Saturday 6/7
Sunday 6/8
Week Total: ___________________
WALKING PROGRAM WEEK 2
My goal for the week: ___________________
Weekly Goal - 110 minutes
Monday 6/9
Tuesday 6/10
Wednesday 6/11
Thursday 6/12
Friday 6/13
Saturday 6/14
Sunday 6/15
Week Total: ___________________
WALKING PROGRAM WEEK 3
My goal for the week: ___________________
Weekly Goal - 130 minutes
Monday 6/16
Tuesday 6/17
Wednesday 6/18
Thursday 6/19
Friday 6/20
Saturday 6/21
Sunday 6/22
Week Total: ___________________
WALKING PROGRAM WEEK 4
My goal for the week: ___________________
Weekly Goal - 150 minutes
Monday 6/23
Tuesday 6/24
Wednesday 6/25
Thursday 6/26
Friday 627
Saturday 6/28
Sunday 6/29
Week Total: ___________________

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