Daily Exercise Report

Today's Day and Date:
/


Name:

Email:

Phone Number:

Did you exercise today?
Yes
No

If you did not exercise today, please explain below:


What Cardiovascular exercises did you perform today? Record in the table below:

Time/Intensity (Note Intensity on a scale of 1 to 5):

1=minimal effort, 2=moderate effort,
3=somewhat challenging, 4=challenging,
5=maximal effort

Cardio
Exercise
Total
Time
Interval 1
Interval 2
Interval 3
Interval 4
Interval 5
Treadmill
Elliptical Trainer
StairMaster
Stationary Bike
Running
Walking
Stair Climbing
Other Cardio:






Other Cardio:






Other Cardio:








Please add other Physical Activities in the spaces below:
Activity 1:
Time
Intensity


Comments:
Activity 2:
Time
Intensity


Comments:
Activity 3:
Time
Intensity


Comments:


Record Today's weight training and core training workout in the table below:


Exercise
Weight
Load
Set #1
Reps
Set #2
Reps
Set #3
Reps
Set #4
Reps

Notes/
Comments


What stretches did you perform today for at least 10 seconds? Please check below:

Hamstrings
Hip Flexors
Quadriceps
Outter Thigh/Hip Stretch
Inner Thighs
Calves
Upper/Mid Back
Lower Back
Triceps
Biceps
Shoulders
Abdominals
Neck

Would you like to be contacted regarding today's workout report?
Yes
No


Please write additional questions or comments you have below:


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or click "Send" to transmit online.


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