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Exercise Log Sheet
(May 23- May 31 Only)

Instructions:
Sorry, only the types of exercise listed below can qualify as a bonus submission for the drawing on Wednesday, June 8, 2005. Click on the types of exercise you engaged in for the dates listed above. Click on the total amount of time accrued for the week, but only for the types of exercise selected. To qualify, you must have exercised in two or more of the major categories 1, 2, 3 and 4 for the exercises listed only, and the total must be at least 3 hours for the week.

 

Name: Member #:

 

Click on the forms of exercise you participated in for the dates listed above:

Category 1 - Aerobic Category 2 - Skilled Movement
Walking Martial arts
Jogging or Running Tai Chi
Group cardio / aerobic exerercise classes Dance
Jumping rope Gymnastics
Cycling Racquet sports
Swimming Basketball
Stair climbing Volleyball
Rowing Fencing
Cross country skiing Mime
Exercise machine (eg: elliptical, Gazelle, Stationary bicycle, row machine, treadmill, stairclimber) Downhill skiing / water skiing
  Skill training for balance, coordination, agility
Category 3 - Strength Training Category 4 - Stretching, Musculoskeletal Alignment and Special Categories
Free weights (dumbells; barbells) Stretches; range of motion
Stretch bands Pilates
Machines Yoga
Exercise ball E-cises (refer to the book, Pain free, by Pete Egoscure)
Free exercise (pushups, sit-ups, knee bends, lunges, etc., all with no special equipment)  
Total amount of time I spent in the exercises specified above, for the week listed at the top of this page:
3-3.9 hours 4-4.9 hours 5-5.9 hours 6 or more hours
I affirm that the information I have provided on this log sheet is accurate in its entirety.