Week of __________________________
You might want to make copies of this form. Leave this one blank, so you can copy it as needed. Write in the exercises and activities
you plan to do (put it on the refrigerator or bathroom mirror. You can do some
of these exercises while cooking, doing dishes, or brushing your teeth!). Create a schedule you think you really can manage. You can change your plan as your fitness improves and you are
able to do more.
(Make sure to check with your Doctor before starting any exercise program)
|Anytime, anywhere balance.
Check the box of each exercise you did:
|Stand on one foot
for 3-5 seconds
|Stand and sit
without using hands
Source: National Institutes of Health (www.nih.gov)