Daily Endurance and Flexibility Exercise Record

Week of __________________________

You might want to make copies of this form. Leave this one blank, so you can copy it as needed. This form is for keeping track of the activities and exercises you do each day.

(Make sure to check with your Doctor before starting any exercise program)

  Sun Mon Tues Wed Thurs Fri Sat
Endurance: List the activity you did and how long you did it:
Activity:              
How Long?              
Flexibility. Check the box of each stretching exercise you did:
Hamstrings              
Alternate hamstring              
Calves              
Ankles              
Triceps              
Wrists              
Quadriceps              
Double Hip Rotation              
Single Hip Rotation              
Shoulder Rotation              
Neck Rotation              

SOURCE: National Institutes of Health (www.nih.gov)


Last Editorial Review: 7/12/2005




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