Health and caregiver logs · Adults

Printable Exercise and Activity Log

A blank exercise and activity log to print and fill in by hand, with 22 rows and columns for date, activity, minutes, how it felt, notes. Every box is left empty for you or your care team to fill in. Bring it to appointments so everyone sees the same record.

Not medical advice. Follow your care team.

1 page · prints on US Letter or A4Customize this sheet

Health · ActivityFor adults · Caregivers

Exercise and Activity Log

Write each walk, class or activity, how long it lasted and how it felt.

DateActivityMinutesHow it feltNotes

Not medical advice. Follow your care team.More free worksheets: handeware.com/learn

How to use it

1. Print a few copies and keep them with a pen where the readings or medicines are.
2. Fill in one line each time, with the date and time.
3. Bring the log to every appointment.
4. Need bigger boxes? Open it in the builder and choose Extra large print.

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