Personal Physical Activity Log
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1Name____________________________
Building____________________________
Month_______________________
Personal Physical Activity Log
Aerobic Dance/Exercise
AR
R
WT
Bowling
BO
Gym Membership
GM
***Home exercise program,
Jogging/Running
Weight Training
jogging, biking, walking,
Basketball
BB
Stairmaster
ST
Water Aerobics
WA
Treadmill
TM
Bldg Based Prog
BP
etc., over a 4-week
Cycling/Stationary Bike
BK
SW
Weight Watchers
WW
Golf
(no cart)
GF
Tai Chi
TC
Swimming
period/3 days per week/30
Elliptical Trainer
ET
Tennis
T
Yoga
YO
Skating
SK
Equestrian
E
minutes per session.
Skiing
SI
Volleyball
VO
Walking
W
Martial Arts
MA
Other
O
WEEK
Week's
Week's
NOTES
Total
Total
M
T
W
Th
F
Sat
Sun
Minutes
Days
1
Type of Exercise
No. of Minutes
2
Type of Exercise
No. of Minutes
3
Type of Exercise
No. of Minutes
4
Type of Exercise
No. of Minutes
5
Type of Exercise
No. of Minutes
Total
Total
Total
Wellness Captain ___________________________
Hours
Days
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Parent category: Miscellaneous