Monday’s Activity Log ID# __________
Date: _ /_ /____
ID #: ____________
Did you exercise with the FlexToBa DVD today? Yes No
If yes, please complete the log below:
Did you complete the warm up? Yes No
Exercise Resistance # of Sets # of Reps
Straight Line Walking 1 2
Squat 1 2
Standing Ab Crunch 1 2
One-leg Stands 1 2 sec. Seated Twist Ylw – Grn – Wt 1 2
Bent Over Row Ylw – Grn – Wt 1 2
Leg Abductions Ylw – Grn – Wt 1 2
Seated Military Press Ylw – Grn – Wt 1 2
Bicep Curls Ylw – Grn – Wt 1 2
Forward Bend 1 2 sec. Swaying Palms 1 2
Total time with FlextoBa DVD [total # of minutes]
RPE [Rating of Perceived Exertion] [whole # between 6-20]
Enjoyment [whole # between 1-7]
Did you complete the cool down stretches? Yes No
Did you do any other exercise today? Yes No
If yes, please complete the log below.
Type of exercise
(i.e. walking, dancing, swimming)
Time spent exercising (# of minutes)
RPE Enjoyment scale
-5 0 5 10 15 20
RPE ENJ
Rati ng
Scale
Average FlexToBa RPE and Enjoyment Scales
Week 1 Week 2 Week 3 Week 4
Goal: 13-15
Program Feedback Month 1 Name: John Doe
0 1 2 3 4 5 6 7
1 2 3 4
# o f D ay s
Week
Number of Days of Exercise
DVD/FTB Other Exercise
0 100 200 300 400
1 2 3 4
