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)