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  • Simple Physical Activity Log Template

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    Danessa Baybayan
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    This document is a physical activity log for tracking a student's weekly exercise. It instructs students to engage in at least 30 minutes of activity 4 days per week. Light activity is defined as moving without increased heart rate or breathing, moderate as noticeably faster heart rate and breathing allowing conversation, and vigorous as too hard to talk. The log has spaces to track minutes of light, moderate, and vigorous activity daily and totals for the week. It also tracks sugary drink consumption weekly. Students sign to promise honest logging.

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    This document is a physical activity log for tracking a student's weekly exercise. It instructs students to engage in at least 30 minutes of activity 4 days per week. Light activity is defined as moving without increased heart rate or breathing, moderate as noticeably faster heart rate and breathing allowing conversation, and vigorous as too hard to talk. The log has spaces to track minutes of light, moderate, and vigorous activity daily and totals for the week. It also tracks sugary drink consumption weekly. Students sign to promise honest logging.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    19 views1 page

    Simple Physical Activity Log Template

    Uploaded by

    Danessa Baybayan
    This document is a physical activity log for tracking a student's weekly exercise. It instructs students to engage in at least 30 minutes of activity 4 days per week. Light activity is defined as moving without increased heart rate or breathing, moderate as noticeably faster heart rate and breathing allowing conversation, and vigorous as too hard to talk. The log has spaces to track minutes of light, moderate, and vigorous activity daily and totals for the week. It also tracks sugary drink consumption weekly. Students sign to promise honest logging.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Last name

    Physical First name

    Health/PE teacher Period

    Activity Log Start date End date

    Return completed log each Monday.

    To complete the Challenge, be active at least 30 minutes, 4 days


    each week. For the best health, aim for 60 minutes every day.
    Light = You will be moving, but your heart rate and breathing will not change much.
    Moderate = Your breathing and heart rate are noticeably faster but you can have a conversation.
    Vigorous = Your heart rate is increased and you’re breathing too hard to have a conversation.
    Sugary drink =
    sugar, corn syrup, or another type of caloric sweetener in the ingredient list

    Monday Tuesday Wednesday Thursday Friday Saturday Sunday Total


    Activities: Activities: Activities: Activities: Activities: Activities: Activities:

    Total light min.


    Light Light Light Light Light Light Light
    minutes_______ minutes_______ minutes_______ minutes_______ minutes_______ minutes_______ minutes_______
    Total moderate
    min.
    Moderate Moderate Moderate Moderate Moderate Moderate Moderate
    minutes_______ minutes_______ minutes_______ minutes_______ minutes_______ minutes_______ minutes_______ Total vigorous
    min.
    Vigorous Vigorous Vigorous Vigorous Vigorous Vigorous Vigorous
    minutes_______ minutes_______ minutes_______ minutes_______ minutes_______ minutes_______ minutes_______
    Total # of days
    with at least 30
    Daily minutes Daily minutes Daily minutes Daily minutes Daily minutes Daily minutes Daily minutes
    min. of activity
    of activity of activity of activity of activity of activity of activity of activity
    _____________ _____________ _____________ _____________ _____________ _____________ _____________
    Total # of sugary
    Number of sugary Number of sugary Number of sugary Number of sugary Number of sugary Number of sugary Number of sugary
    drinks per week
    drinks ________ drinks ________ drinks ________ drinks ________ drinks ________ drinks ________ drinks ________

    “I promise that what I have written on this log is truthful, and that I am being honest about my physical activity.”

    Signature

    www.healthyfuturesak.org/ • Fill out your log online at www.hfchallenge.org

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