2010-physical-activity-log_0

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					                         Instructions on How to Use RM 7–PA: Physical Activity Log

1. In the column Activity indicate the physical activity or exercise that you participated in
(e.g., brisk walk to school, hockey practice).

2. In the column Primary Health-Related Fitness Component indicate the primary or most prevalent
health-related fitness component that the physical activity addresses. Use the following code:
CRE–cardiorespiratory endurance; MS–Muscular Strength; ME–Muscular Endurance; FL–Flexibility.

3. In the column Exercise Time you have a choice of three exercise intensities. Indicate the amount of
time (in minutes) spent at each level for the stated activity (e.g., total time is 40 minutes, with 10 minutes
at Light, 10 minutes at Moderate, and 20 minutes at Vigorous intensity level).
4. In the column Health Habit Satisfaction insert the number 1 in each row for Exercise, Diet, Stress,
and Sleep in the column that best represents your level of satisfaction with the health habit (High–very
satisfied; Medium–somewhat satisfied; Low–not satisfied).
5. The record for the day may include a daily health reflection. The number of records required will be
determined by your teacher. Your reflection may address
    a. how you felt that day
    b. your progress toward an active healthy lifestyle
    c. how you were influenced to make healthy or unhealthy decisions
    d. goals you revised or achieved, and so on
    e. your thoughts related to any aspect of your personal healthy lifestyle
6. At the end of one week print your record and have it signed by your parent/guardian. The signature is a
certification that the information appearing on the record is true and accurate.

Note: The information that you provide on the Physical Activity Log is automatically tabulated and your
time is converted to an hourly record on a weekly, monthly, and cumulative basis. A periodic review of the
Course Summary sheet will let you know how you are progressing toward your goals.
                                                        RM 7–PA: Physical Activity Log
 Name ___________________________                                                                                                                                       Grade _____

Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 1       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                        RM 7–PA: Physical Activity Log
 Name ___________________________                                                                                                                                       Grade _____

Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 2       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                        RM 7–PA: Physical Activity Log
 Name ___________________________                                                                                                                                       Grade _____

Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 3       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                        RM 7–PA: Physical Activity Log
 Name ___________________________                                                                                                                                       Grade _____

Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 4       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                        RM 7–PA: Physical Activity Log
 Name ___________________________                                                                                                                                        Grade _____

Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-         Exercise
                                                                                     Health Habit Satisfaction                         Daily Reflection / Rating
Day                          Activity     Related Fitness         Intensity
                                            Component        Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
                                                                                    Diet
Monday
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Tuesday                                                                             Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Wednesday                                                                           Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Thursday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Friday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Saturday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Sunday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                              0       0       0       Total     0     0     0
                                         Total Hours for the Week 5           0.0              0.0 Total Hours of Moderate to Vigorous Activity for the Week
Parent/Guardian Signature:                0.0 Total Hours for the Month of                     0.0 Total Hours of Moderate to Vigorous Activity for the Month


Student Signature:   ______________________________________            I hereby certify that this record is an accurate account of my physical activity participation.
                                   RM 7–PA: Physical Activity Log
Name ___________________________                                        Grade _____

                                             1   Exercise   0   0   0
                                                 Diet       0   0   0
                                                 Stress     0   0   0
                                                 Sleep      0   0   0
                                             2   Exercise   0   0   0
                                                 Diet       0   0   0
                                                 Stress     0   0   0
                                                 Sleep      0   0   0
                                             3   Exercise   0   0   0
                                                 Diet       0   0   0
                                                 Stress     0   0   0
                                                 Sleep      0   0   0
                                             4   Exercise   0   0   0
                                                 Diet       0   0   0
                                                 Stress     0   0   0
                                                 Sleep      0   0   0
                                             5   Exercise   0   0   0
                                                 Diet       0   0   0
                                                 Stress     0   0   0
                                                 Sleep      0   0   0
                                             T   Exercise   0   0   0
                                                 Diet       0   0   0
                                                 Stress     0   0   0
                                                 Sleep      0   0   0
                                                            RM 7–PA: Physical Activity Log
 Name ______________________                                                                                                                                       Grade ____
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 1       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ______________________                                                                                                                                       Grade ____
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 2       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ______________________                                                                                                                                       Grade ____
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 3       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ______________________                                                                                                                                       Grade ____
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 4       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ______________________                                                                                                                                        Grade ____
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-         Exercise
                                                                                     Health Habit Satisfaction                         Daily Reflection / Rating
Day                          Activity     Related Fitness         Intensity
                                            Component        Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
                                                                                    Diet
Monday
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Tuesday                                                                             Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Wednesday                                                                           Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Thursday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Friday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Saturday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Sunday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                              0       0       0       Total     0     0     0
                                         Total Hours for the Week 5           0.0              0.0 Total Hours of Moderate to Vigorous Activity for the Week
Parent/Guardian Signature:                0.0 Total Hours for the Month of                     0.0 Total Hours of Moderate to Vigorous Activity for the Month


Student Signature:   ______________________________________            I hereby certify that this record is an accurate account of my physical activity participation.
                              RM 7–PA: Physical Activity Log
Name ______________________                                       Grade ____
                                       1   Exercise   0   0   0
                                           Diet       0   0   0
                                           Stress     0   0   0
                                           Sleep      0   0   0
                                       2   Exercise   0   0   0
                                           Diet       0   0   0
                                           Stress     0   0   0
                                           Sleep      0   0   0
                                       3   Exercise   0   0   0
                                           Diet       0   0   0
                                           Stress     0   0   0
                                           Sleep      0   0   0
                                       4   Exercise   0   0   0
                                           Diet       0   0   0
                                           Stress     0   0   0
                                           Sleep      0   0   0
                                       5   Exercise   0   0   0
                                           Diet       0   0   0
                                           Stress     0   0   0
                                           Sleep      0   0   0
                                       T   Exercise   0   0   0
                                           Diet       0   0   0
                                           Stress     0   0   0
                                           Sleep      0   0   0
                                                        RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                  Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 1       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                        RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                  Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 2       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                        RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                  Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 3       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                        RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                  Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 4       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                        RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                   Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-         Exercise
                                                                                     Health Habit Satisfaction                         Daily Reflection / Rating
Day                          Activity     Related Fitness         Intensity
                                            Component        Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
                                                                                    Diet
Monday
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Tuesday                                                                             Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Wednesday                                                                           Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Thursday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Friday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Saturday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Sunday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                              0       0       0       Total     0     0     0
                                         Total Hours for the Week 5           0.0              0.0 Total Hours of Moderate to Vigorous Activity for the Week
Parent/Guardian Signature:                0.0 Total Hours for the Month of                     0.0 Total Hours of Moderate to Vigorous Activity for the Month


Student Signature:   ______________________________________            I hereby certify that this record is an accurate account of my physical activity participation.
                        RM 7–PA: Physical Activity Log
Name ________________                                        Grade ___
                                  1   Exercise   0   0   0
                                      Diet       0   0   0
                                      Stress     0   0   0
                                      Sleep      0   0   0
                                  2   Exercise   0   0   0
                                      Diet       0   0   0
                                      Stress     0   0   0
                                      Sleep      0   0   0
                                  3   Exercise   0   0   0
                                      Diet       0   0   0
                                      Stress     0   0   0
                                      Sleep      0   0   0
                                  4   Exercise   0   0   0
                                      Diet       0   0   0
                                      Stress     0   0   0
                                      Sleep      0   0   0
                                  5   Exercise   0   0   0
                                      Diet       0   0   0
                                      Stress     0   0   0
                                      Sleep      0   0   0
                                  T   Exercise   0   0   0
                                      Diet       0   0   0
                                      Stress     0   0   0
                                      Sleep      0   0   0
                                                            RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                  Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 1       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                  Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 2       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                  Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 3       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                  Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 4       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ________________                                                                                                                                                   Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-         Exercise
                                                                                     Health Habit Satisfaction                         Daily Reflection / Rating
Day                          Activity     Related Fitness         Intensity
                                            Component        Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
                                                                                    Diet
Monday
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Tuesday                                                                             Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Wednesday                                                                           Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Thursday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Friday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Saturday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Sunday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                              0       0       0       Total     0     0     0
                                         Total Hours for the Week 5           0.0              0.0 Total Hours of Moderate to Vigorous Activity for the Week
Parent/Guardian Signature:                0.0 Total Hours for the Month of                     0.0 Total Hours of Moderate to Vigorous Activity for the Month


Student Signature:   ______________________________________            I hereby certify that this record is an accurate account of my physical activity participation.
                        RM 7–PA: Physical Activity Log
Name ________________                                       Grade ___
                                 1   Exercise   0   0   0
                                     Diet       0   0   0
                                     Stress     0   0   0
                                     Sleep      0   0   0
                                 2   Exercise   0   0   0
                                     Diet       0   0   0
                                     Stress     0   0   0
                                     Sleep      0   0   0
                                 3   Exercise   0   0   0
                                     Diet       0   0   0
                                     Stress     0   0   0
                                     Sleep      0   0   0
                                 4   Exercise   0   0   0
                                     Diet       0   0   0
                                     Stress     0   0   0
                                     Sleep      0   0   0
                                 5   Exercise   0   0   0
                                     Diet       0   0   0
                                     Stress     0   0   0
                                     Sleep      0   0   0
                                 T   Exercise   0   0   0
                                     Diet       0   0   0
                                     Stress     0   0   0
                                     Sleep      0   0   0
                                                            RM 7–PA: Physical Activity Log
 Name ___________________                                                                                                                                               Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 1       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ___________________                                                                                                                                               Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 2       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ___________________                                                                                                                                               Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 3       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ___________________                                                                                                                                               Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-     Exercise Time      Health Habit Satisfaction                            Daily Reflection / Rating
Day                          Activity     Related Fitness
                                            Component        Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
                                                                                Diet
Monday
                                                                                Stress
                                                                                Sleep                                                                               Overall Rating:   /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Tuesday                                                                         Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Wednesday                                                                       Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Thursday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Friday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Saturday                                                                        Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                             Light Mod    Vig     Habit     High Med Low
                                                                                Exercise
Sunday                                                                          Diet
                                                                                Stress
                                                                                Sleep                                                                              Overall Rating:    /5
                                                              0       0    0       Total      0     0      0
Parent/Guardian Signature:               Total Hours for the Week 4       0.0       0.0    Total Hours of Moderate to Vigorous Activity for the Week


Student Signature:   ______________________________________           I hereby certify that this record is an accurate account of my physical activity participation.
                                                            RM 7–PA: Physical Activity Log
 Name ___________________                                                                                                                                                Grade ___
Week of:                                 Student's Daily Physical Activity Log for the Month of _____________________________________
                                          Primary Health-         Exercise
                                                                                     Health Habit Satisfaction                         Daily Reflection / Rating
Day                          Activity     Related Fitness         Intensity
                                            Component        Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
                                                                                    Diet
Monday
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Tuesday                                                                             Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Wednesday                                                                           Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Thursday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Friday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Saturday                                                                            Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                             Light Mod        Vig     Habit    High Med Low
                                                                                    Exercise
Sunday                                                                              Diet
                                                                                    Stress
                                                                                    Sleep                                                                           Overall Rating:   /5
                                                              0       0       0       Total     0     0     0
                                         Total Hours for the Week 5           0.0              0.0 Total Hours of Moderate to Vigorous Activity for the Week
Parent/Guardian Signature:                0.0 Total Hours for the Month of                     0.0 Total Hours of Moderate to Vigorous Activity for the Month


Student Signature:   ______________________________________            I hereby certify that this record is an accurate account of my physical activity participation.
                           RM 7–PA: Physical Activity Log
Name ___________________                                       Grade ___
                                    1   Exercise   0   0   0
                                        Diet       0   0   0
                                        Stress     0   0   0
                                        Sleep      0   0   0
                                    2   Exercise   0   0   0
                                        Diet       0   0   0
                                        Stress     0   0   0
                                        Sleep      0   0   0
                                    3   Exercise   0   0   0
                                        Diet       0   0   0
                                        Stress     0   0   0
                                        Sleep      0   0   0
                                    4   Exercise   0   0   0
                                        Diet       0   0   0
                                        Stress     0   0   0
                                        Sleep      0   0   0
                                    5   Exercise   0   0   0
                                        Diet       0   0   0
                                        Stress     0   0   0
                                        Sleep      0   0   0
                                    T   Exercise   0   0   0
                                        Diet       0   0   0
                                        Stress     0   0   0
                                        Sleep      0   0   0
                 RM 7–PA: Physical Activity Log (Summary)

Name ____________________________________________                            Grade _________

1st Month     Total Time Spent in Physical Activity for Week 1           0    Hours

              Total Time Spent in Physical Activity for Week 2           0    Hours
              Total Time Spent in Physical Activity for Week 3           0    Hours
              Total Time Spent in Physical Activity for Week 4           0    Hours
              Total Time Spent in Physical Activity for Week 5           0    Hours


              Total Time Spent in Physical Activity for Month 1          0    Hours


              Total Time Spent in Moderate to Vigorous Range for Month 1       0.0    Hours


              Health Habit Satisfaction for Month 1   High       Med.   Low
                                             Exercise  0          0      0
                                                 Diet  0          0      0
                                               Stress  0          0      0
                                               Sleep   0          0      0




2nd Month     Total Time Spent in Physical Activity for Week 1           0    Hours

              Total Time Spent in Physical Activity for Week 2           0    Hours
              Total Time Spent in Physical Activity for Week 3           0    Hours
              Total Time Spent in Physical Activity for Week 4           0    Hours
              Total Time Spent in Physical Activity for Week 5           0    Hours


              Total Time Spent in Physical Activity for Month 2          0    Hours


              Total Time Spent in Moderate to Vigorous Range for Month 1       0.0    Hours


              Health Habit Satisfaction for Month 2   High       Med.   Low
                                             Exercise  0          0      0
                                                 Diet  0          0      0
                                               Stress  0          0      0
                                               Sleep   0          0      0



3rd Month     Total Time Spent in Physical Activity for Week 1           0    Hours

              Total Time Spent in Physical Activity for Week 2           0    Hours
              Total Time Spent in Physical Activity for Week 3           0    Hours
              Total Time Spent in Physical Activity for Week 4           0    Hours
              Total Time Spent in Physical Activity for Week 5           0    Hours


              Total Time Spent in Physical Activity for Month 3          0    Hours


              Total Time Spent in Moderate to Vigorous Range for Month 1       0.0    Hours


              Health Habit Satisfaction for Month 3   High       Med.   Low
                                             Exercise  0          0      0
                                                 Diet  0          0      0
                                               Stress  0          0      0
                                               Sleep   0          0      0
                    RM 7–PA: Physical Activity Log (Summary)



4th Month        Total Time Spent in Physical Activity for Week 1           0     Hours

                 Total Time Spent in Physical Activity for Week 2           0     Hours
                 Total Time Spent in Physical Activity for Week 3           0     Hours
                 Total Time Spent in Physical Activity for Week 4           0     Hours
                 Total Time Spent in Physical Activity for Week 5           0     Hours


                 Total Time Spent in Physical Activity for Month 4          0     Hours


                 Total Time Spent in Moderate to Vigorous Range for Month 1        0.0    Hours


                 Health Habit Satisfaction for Month 4   High       Med.   Low
                                                Exercise  0          0      0
                                                    Diet  0          0      0
                                                  Stress  0          0      0
                                                  Sleep   0          0      0



5th Month        Total Time Spent in Physical Activity for Week 1           0     Hours

                 Total Time Spent in Physical Activity for Week 2           0     Hours
                 Total Time Spent in Physical Activity for Week 3           0     Hours
                 Total Time Spent in Physical Activity for Week 4           0     Hours

                 Total Time Spent in Physical Activity for Week 5           0     Hours


                 Total Time Spent in Physical Activity for Month 5          0     Hours


                 Total Time Spent in Moderate to Vigorous Range for Month 1        0.0    Hours


                 Health Habit Satisfaction for Month 5   High       Med.   Low
                                                Exercise  0          0      0
                                                    Diet  0          0      0
                                                  Stress  0          0      0
                                                  Sleep   0          0      0




Course Summary

                 Total Time Spent in Physical Activity for the Course                      0.0    Hours


                 Total Time Spent in Moderate to Vigorous Range for the Course             0.0    Hours


                 Health Habit Satisfaction for the Course         High     Med.    Low
                                                       Exercise      0      0       0
                                                           Diet      0      0       0
                                                         Stress      0      0       0
                                                          Sleep      0      0       0
         My Physical Activity Plan/Log for the Month of ________________________

Sunday   Monday         Tuesday       Wednesday        Thursday         Friday     Saturday
        RM 1 - PA: Personal Physical Activity Inventory: Current Participation

Name ________________________                                                  Class ________                          Date ________

Directions/Description
1. List all your physical activities for three days of the week that best represent what you would normally do, and indicate how
long you did each activity. Each daily total must eqaul 24 hours.
  2. Classify each of your physical activities according to the intensity category scale provided below. First identify the number of
hours you spend sleeping(resting), then the time you spent in vigorous or moderate activity, and finally, the time you spent in
very light or light activity. Each daily total must equal 24 hours.


                              Personal Physical Activity Inventory
                                                              Amount of Time (Hours : Minutes) and
                                                               Intensity Level (Perceived Exertion)
          Physical Activity
                                           Resting            Very Light             Light            Moderate             Vigorous
                                       (hours : minutes)   (hours : minutes)   (hours : minutes)   (hours : minutes)   (hours : minutes)
                                             0:15                0:14                1:00                1:00                1:00
                                             1:11




Total Time for Each Intensity Level          1:26                0:14                1:00                1:00                1:00

Total Time (Moderate and Vigorous)           2:00                2:00                2:00
Total Time/Week                              3:40                2:14                3:00
                                             RM 3–PA: Physical Activity Inventory

This Physical Activity Inventory is intended to assist students in identifying activities that they would like to include in their physical activity
practicum. Students may choose physical activities based on the type of activity, the health-related fitness component(s) to which the activity
contributes, the level of risk involved in the activity, or a combination of these factors.

A Physical Activity Safety Checklist is available for each of the activities listed. These checklists contain information about managing risk, under
the following risk factors: level of instruction, level of supervision, facilities/environment, equipment, clothing/footwear, and personal and other
considerations.

The following codes are used in the Physical Activity Inventory.

             Code for Type of Activity                                                Code for Health-Related Fitness Component
AL - Active Living                                                         Cardio - Cardiorespiratory Endurance
AP - Alternative Pursuits                                                  M. Str. - Muscular Strength
CO - Combative Activities                                                  M. End. - Muscular Endurance
FIT - Fitness Activities                                                   Flex - Flexibility
IT - Invasion/Territory-Type Sports/Games                                                    Indicates that the activity contributes to the health-
NW - Net/Wall-Type Sports/Games                                                             related fitness component.
RG - Rhythmic Gymnastic-Type Activities
SF - Striking/Fielding-Type Sports/Games
TG - Target-Type Sports/Games

                                             Code for Risk Factor Rating (RFR)
         RFR Level of safety concerns; recommended instruction and supervision.
             1 There are few safety concerns for this physical activity; little or no qualified instruction or adult supervision are
               required.
             2 There are some safety concerns for this physical activity; quality instruction is recommended, and little or no
               adult supervision is required.
             3 There are several safety concerns for this physical activity; qualified instruction is required, and adult
               supervision is recommended.
             4 There is a high level of safety concern for this physical activity; qualified instruction and adult supervision are
               required.
                                                            Health-Related Fitness Components
Interest   All Activities                         Type   Cardio     M. Str.     M. End.    Flex.   Risk
           Aerobics - Dance                        FIT                                           2
           Aerobics - Step                         FIT                                           2
           Aerobics - Water/Aqua                   FIT                                           4
           Aikido                                  CO                                           4
           Archery                                 TG                                              4
           Athletics - Jumps                       FIT                                            3
           Athletics - Long-Distance Running       FIT                                           2
           Athletics - Middle-Distance Running     FIT                                           2
           Athletics - Sprints, Relays, Hurdles    FIT                                          2
           Athletics - Throws                      FIT                                            4
           Backpacking                             AP                                            3
           Badminton                               NW                                            2
           Bandy                                    IT                                            3
           Baseball                                SF                                            2
           Basketball                               IT                                          2
           Biathlon                                AP                                            4
           Bocce                                   TG                                              1
           Bowling - 5-Pin, 10-Pin                 TG                                             1
           Boxing                                  CO                                            4
           Broomball                                IT                                           3
           Calisthenics                            FIT                                           1
           Canoeing/Kayaking/Rowing                AP                                            4
           Canoe/Kayak Tripping
           (Wilderness/Whitewater)                 AP                                            4
           Catch (For safety, see
           Low-Organized Games)                   AL                                              1
           Cheerleading                           RG                                            4
           Circuit Training                       FIT                                           2
Climbing - Wall, Rock, Bouldering,
Ice Tower                              AP                 4
Cricket                                SF                 2
Croquet (For safety, see
Low-Organized Games)                   TG                   1
Cross-Country Running                  FIT                2
Curling                                TG                  2
Cycling - BMX, Cyclocross, Mountain
Bike, Road Racing,
Track Racing                           AP                 3
Cycling - Indoor/Stationary            FIT                1
Cycling - Recreational                 AL                 2
Cycling - Trips                        AP                 3
Dance - Ballet                         RG                2
Dancing - Ballroom                     RG                  2
Dancing - Folk                         RG                  2
Dancing - Hip Hop                      RG                  2
Dancing - Hoop                         RG                  2
Dancing - Line                         RG                  2
Dancing - Square                       RG                  2
Dancing - Tap                          RG                  2
Diving - Springboard, Platform         RG                   4
Dodging Games (For safety, see
Low-Organized Games)                   FIT                1-4
Fencing                                CO                  4
Field Hockey                           IT                3
Fitness Training (Exercise Machines)   FIT                3
Fitness Training (Small Equipment)
(e.g., Stretch Bands, Physio Balls,
Jump Ropes, Agility Ladders,
Medicine Balls)                        FIT               2
Football - Flag                         IT               2
Football - Tackle                       IT                4
Frisbee (For safety, see
Low-Organized Games)                  AL                                                         1
Geocaching                            AP                                                       4
Goal Ball                             IT                                                        4
Golf                                  TG                                                       2
Gymnastics - General, Tumbling,
Artistic                              RG                                                       4
Hacky Sack (For safety, see
Low-Organized Games)                  AL                                                        1
Handball - 1-Wall, 4-Wall             NW                                                      1
Hiking                                AP                                                        2
Hockey - Ice                          IT                                                      4
Hockey - Roller/Inline                IT                                                      4
Hockey-Type Games - Ball, Floor,
Road, Floorball, Gym Ringette,
Shinny                                IT                                                      3
Horseback Riding - Western, English
Saddle                                AP                                                        4
House and Yard Work                   AL                                                       1
Jogging                               FIT                                                      1
Judo                                  CO                                                      4
Jump Rope (For safety, see Fitness
Training)                             FIT                                                       1
Karate                                CO                                                      4
Kickball (Soccer-Baseball)            AL                                                         1
Kickboxing                            CO                                                      4
Lacrosse - Box, Field                  IT                                                     4
Lacrosse - Soft                        IT                                                     3
Lawn Bowling                          TG                                                        1
Lawn Mowing                           AL                                                       3
                                            Effect on health-related fitness will vary from one
Low-Organized Games                   AL                game/activity to another.                 1–4
Martial Arts                          CO                                                       4
Orienteering                          AP                                                         2
Paddleball                             NW                  2
Pilates (For safety, see Fitness
Training)                              FIT                2
Qigong                                 FIT                 2
Racquetball                            NW                2
Rhythmic Gymnastics                    RG                 2
Ringette                                IT               4
Rock Climbing (For safety, see
Climbling)                             AP                 4
Rowing - Ergometer (For safety, see
Fitness Training [Exercise
Machines])                             FIT                3
Rowing - Sport (For safety, see
Canoeing/Kayaking/Rowing)              AP                 4
Rugby - Flag                           IT                 3
Rugby - Tackle                         IT                4
Sailing/Yachting                       AP                  4
Scuba Diving                           AP                   4
Sepak Takraw                           NW                2
Skateboarding                          AL                  2
Skating - Figure                       RG                 2
Skating - Ice                          AL                 2
Skating - Inline/Roller (Indoor,
Outdoor)                               AL                 2
Skiing - Alpine                        AP                 4
Skiing - Cross-Country                 AP                  2
Skiing - Water                         AP                  4
Snorkelling                            AP                   4
Snowboarding                           AP                 3
Snowshoeing                            AP                  2
Soccer                                 IT                2
Softball - Slo Pitch, Modified, Fast
Pitch                                  SF                 2
Speed Skating                          AP                3
Spinning (For safety, see Cycling -
Indoor/Stationary)                    FIT                1
Squash                                NW                2
Stretch Banding (For safety, see
Fitness Training)                     FIT                1
Stretching (For safety, see Fitness
Training [Small Equipment])           FIT                  1
Swimming - Open Water                 FIT               4
Swimming - Pool                       FIT               4
Table Tennis                          NW                  2
Tae Bo                                FIT               2
Tae Kwon Do                           CO                4
Tai Chi                               FIT                 1
Tchoukball                             IT               2
Team Handball                          IT               2
Tennis                                NW                2
Tobogganing, Sledding, Tubing         AP                  3
Triathlon                             FIT               4
Tumbling (For safety, see
Gymnastics)                           RG                 4
Ultimate                               IT               2
Volleyball                            NW                 2
Walking                               AL                  1
Water Polo                             IT                 4
Weightlifting                         FIT                3
Weight (Strength/Resistance)
Training                              FIT               3
Windsurfing/Sailboarding              AP                  4

Wrestling - Freestyle, Greco-Roman    CO                4
Yoga                                  FIT                2
                                                   RM 5–NU: Energy Expenditure of Physical Activities*
                                                                                 (Sorted by Activity)
                                                                Calories are based on 30 minutes of activity.

                    Activity                     90 lbs.   100 lbs.   110 lbs.   120 lbs.   130 lbs.   140 lbs.   150 lbs.   160 lbs.   170 lbs.   180 lbs.   190 lbs.   200 lbs.   220 lbs.   240 lbs.   260 lbs.   280 lbs.   300 lbs.
                                                  41 kg     45 kg      50 kg      55 kg      59 kg      64 kg      68 kg      73 kg      77 kg      82 kg      86 kg      91 kg     100 kg     109 kg     118 kg     127 kg     136 kg
Aerobic dancing (low impact)                       104       115        127        138        149        161        172        184        195        207        218        230        253        276        299        322        345
Aerobics, step training, 10 cm step (beginner)     131       145        160        174        189        203        218        232        247        261        276        290        319        348        377        406        435
Aerobics, slide training (basic)                   135       150        165        180        195        210        225        240        255        270        285        300        330        360        390        420        450
Backpacking with 4.5 kg load                       162       180        198        216        234        252        270        288        306        324        342        360        396        432        468        504        540
Backpacking with 9 kg load                         180       200        220        240        260        280        300        320        340        360        380        400        440        480        520        560        600
Backpacking with 13.6 kg load                      211       235        259        282        306        329        352        376        399        423        446        470        517        564        611        658        705
Badminton                                          135       150        165        180        195        210        225        240        255        270        285        300        330        360        390        420        450
Basketball (game)                                  198       220        242        264        286        308        330        352        374        396        418        440        484        528        572        616        660
Basketball (leisurely, non-game)                   117       130        143        156        169        182        195        208        221        234        247        260        286        312        338        364        390
Bicycling, 16 kph (3:45 min/km)                    112       125        138        150        162        175        188        200        213        225        237        250        275        300        325        350        375
Bicycling, 21 kph (2:51 min/km)                    180       200        220        240        260        280        300        320        340        360        380        400        440        480        520        560        600
Billiards                                          41        45         49         54         58         63         68         72         76         81         85         90         99         108        117        126        135
Bowling                                            50        55         60         66         72         77         82         88         94         99         105        110        121        132        143        154        165
Canoeing, 4 kph                                    63        70         77         84         91         98         105        112        119        126        133        140        154        168        182        196        210
Canoeing, 6.4 kph                                  122       135        149        162        175        189        202        216        230        243        257        270        297        324        351        378        405
Croquet                                            54        60         66         72         78         84         90         96         102        108        114        120        132        144        156        168        180
Cross-country snow skiing (intense)                297       330        363        396        429        462        495        528        561        594        627        660        726        792        858        924        990
Cross-country snow skiing (leisurely)              140       155        171        186        202        217        232        248        263        279        294        310        341        372        403        434        465
Cross-country snow skiing (moderate)               198       220        242        264        286        308        330        352        374        396        418        440        484        528        572        616        660
Dancing (non-contact)                              90        100        110        120        130        140        150        160        170        180        190        200        220        240        260        280        300
Dancing (slow)                                     50        55         60         66         72         77         82         88         94         99         105        110        121        132        143        154        165
Gardening (moderate)                               81        90         99         108        117        126        135        144        153        162        171        180        198        216        234        252        270
Golfing (walking, without cart)                    90        100        110        120        130        140        150        160        170        180        190        200        220        240        260        280        300
Golfing (with cart)                                63        70         77         84         91         98         105        112        119        126        133        140        154        168        182        196        210
Handball                                           207       230        253        276        299        322        345        368        391        414        437        460        506        552        598        644        690
Hiking with 4.5 kg load                            162       180        198        216        234        252        270        288        306        324        342        360        396        432        468        504        540
Hiking with 9 kg load                              180       200        220        240        260        280        300        320        340        360        380        400        440        480        520        560        600
Hiking with 13.6 kg load                           211       235        259        282        306        329        352        376        399        423        446        470        517        564        611        658        705
Hiking, no load                                    140       155        171        186        202        217        232        248        263        279        294        310        341        372        403        434        465
Housework                                          81        90         99         108        117        126        135        144        153        162        171        180        198        216        234        252        270
Ironing                                            45        50         55         60         65         70         75         80         85         90         95         100        110        120        130        140        150
Jogging, 8 kph (7:30 min/km)                       167       185        203        222        240        259        278        296        315        333        352        370        407        444        481        518        555
Jogging, 9.7 kph (6:11 min/km)                     207       230        253        276        299        322        345        368        391        414        437        460        506        552        598        644        690
Mopping                                            77        85         94         102        111        119        128        136        144        153        162        170        187        204        221        238        255
Mowing                                             122       135        149        162        175        189        202        216        230        243        257        270        297        324        351        378        405
Ping Pong                                          81        90         99         108        117        126        135        144        153        162        171        180        198        216        234        252        270
Raking                                             68        75         82         90         98         105        112        120        128        135        142        150        165        180        195        210        225
Racquetball                                        185       205        225        246        266        287        308        328        349        369        389        410        451        492        533        574        615
Rowing (leisurely)                                 68        75         82         90         98         105        112        120        128        135        142        150        165        180        195        210        225
Rowing machine                                     162       180        198        216        234        252        270        288        306        324        342        360        396        432        468        504        540
Running, 12.9 kph (4:39 min/km)                    274       305        336        366        396        427        458        488        518        549        579        610        671        732        793        854        915
Running, 14.5 kph (4:08 min/km)                    297       330        363        396        429        462        495        528        561        594        627        660        726        792        858        924        990
Running, 16 kph (3:45 min/km)                      315       350        385        420        455        490        525        560        595        630        665        700        770        840        910        980       1050
Scrubbing the floor                                126       140        154        168        182        196        210        224        238        252        266        280        308        336        364        392        420
Scuba diving                                             171        190        209         228   247   266   285   304   323   342   361   380   418   456   494   532   570
Shopping for groceries                                   54         60         66          72    78    84    90    96    102   108   114   120   132   144   156   168   180
Skipping rope                                            257        285        313         342   370   399   428   456   484   513   541   570   627   684   741   798   855
Snow shovelling                                          176        195        215         234   253   273   292   312   332   351   371   390   429   468   507   546   585
Snow skiing, downhill                                    117        130        143         156   169   182   195   208   221   234   247   260   286   312   338   364   390
Soccer                                                   176        195        215         234   253   273   292   312   332   351   371   390   429   468   507   546   585
Squash                                                   185        205        225         246   266   287   308   328   349   369   389   410   451   492   533   574   615
Stair climber machine                                    144        160        176         192   208   224   240   256   272   288   304   320   352   384   416   448   480
Stair climbing                                           126        140        154         168   182   196   210   224   238   252   266   280   308   336   364   392   420
Swimming (22.86 m/min)                                   108        120        132         144   156   168   180   192   204   216   228   240   264   288   312   336   360
Swimming (45.72 m/min)                                   202        225        248         270   292   315   338   360   382   405   428   450   495   540   585   630   675
Table tennis                                             81         90         99          108   117   126   135   144   153   162   171   180   198   216   234   252   270
Tennis                                                   144        160        176         192   208   224   240   256   272   288   304   320   352   384   416   448   480
Tennis (doubles)                                         99         110        121         132   143   154   165   176   187   198   209   220   242   264   286   308   330
Trimming hedges                                          94         105        115         126   136   147   158   168   178   189   199   210   231   252   273   294   315
Vacuuming                                                68         75         82          90    98    105   112   120   128   135   142   150   165   180   195   210   225
Volleyball (game)                                        108        120        132         144   156   168   180   192   204   216   228   240   264   288   312   336   360
Volleyball (leisurely)                                   63         70         77          84    91    98    105   112   119   126   133   140   154   168   182   196   210
Walking, 3.2 kph (18:45 min/km)                          54         60         66          72    78    84    90    96    102   108   114   120   132   144   156   168   180
Walking, 4.8 kph (12:30 min/km)                          72         80         88          96    104   112   120   128   136   144   152   160   176   192   208   224   240
Walking, 6.4 kph (9:22 min/km)                           90         100        110         120   130   140   150   160   170   180   190   200   220   240   260   280   300
Washing the car                                          68         75         82          90    98    105   112   120   128   135   142   150   165   180   195   210   225
Water skiing                                             144        160        176         192   208   224   240   256   272   288   304   320   352   384   416   448   480
Waxing the car                                           90         100        110         120   130   140   150   160   170   180   190   200   220   240   260   280   300
Weeding                                                  90         100        110         120   130   140   150   160   170   180   190   200   220   240   260   280   300
Weight training (40 sec. between sets)                   230        255        280         306   332   357   382   408   433   459   484   510   561   612   663   714   765
Weight training (60 sec. between sets)                   171        190        209         228   247   266   285   304   323   342   361   380   418   456   494   532   570
Weight training (90 sec. between sets)                   112        125        138         150   162   175   188   200   213   225   237   250   275   300   325   350   375
Window cleaning                                          68         75         82          90    98    105   112   120   128   135   142   150   165   180   195   210   225

* Source: Reprinted with permission of CyberSoft, Inc., Phoenix Arizona. <www.nutribase.com>.
                                               RM 5–NU: Energy Expenditure of Physical Activities*
                                                                          (Sorted by Intensity)
                                                              Calories are based on 30 minutes of activity.

                 Activity                90 lbs.   100 lbs.    110 lbs.   120 lbs.   130 lbs.   140 lbs.   150 lbs.   160 lbs.   170 lbs.   180 lbs.   190 lbs.   200 lbs.   220 lbs.   240 lbs.   260 lbs.   280 lbs.   300 lbs.
                                         41 kg      45 kg       50 kg      55 kg      59 kg      64 kg      68 kg      73 kg      77 kg      82 kg      86 kg      91 kg      100 kg     109 kg     118 kg     127 kg     136 kg
Billiards                                  41         45         49         54          58         63         68         72         76         81         85         90         99        108        117        126        135
Ironing                                    45         50         55         60          65         70         75         80         85         90         95        100        110        120        130        140        150
Bowling                                    50         55         60         66          72         77         82         88         94         99        105        110        121        132        143        154        165
Dancing (slow)                             50         55         60         66          72         77         82         88         94         99        105        110        121        132        143        154        165
Croquet                                    54         60         66         72          78         84         90         96        102        108        114        120        132        144        156        168        180
Shopping for groceries                     54         60         66         72          78         84         90         96        102        108        114        120        132        144        156        168        180
Walking, 3.2 kph (18:45 min/km)            54         60         66         72          78         84         90         96        102        108        114        120        132        144        156        168        180
Canoeing, 4 kph                            63         70         77         84          91         98        105        112        119        126        133        140        154        168        182        196        210
Golfing (with cart)                        63         70         77         84          91         98        105        112        119        126        133        140        154        168        182        196        210
Volleyball (leisurely)                     63         70         77         84          91         98        105        112        119        126        133        140        154        168        182        196        210
Raking                                     68         75         82         90          98        105        112        120        128        135        142        150        165        180        195        210        225
Rowing (leisurely)                         68         75         82         90          98        105        112        120        128        135        142        150        165        180        195        210        225
Vacuuming                                  68         75         82         90          98        105        112        120        128        135        142        150        165        180        195        210        225
Washing the car                            68         75         82         90          98        105        112        120        128        135        142        150        165        180        195        210        225
Window cleaning                            68         75         82         90          98        105        112        120        128        135        142        150        165        180        195        210        225
Walking, 4.8 kph (12:30 min/km)            72         80         88         96         104        112        120        128        136        144        152        160        176        192        208        224        240
Mopping                                    77         85         94         102        111        119        128        136        144        153        162        170        187        204        221        238        255
Gardening (moderate)                       81         90         99         108        117        126        135        144        153        162        171        180        198        216        234        252        270
Housework                                  81         90         99         108        117        126        135        144        153        162        171        180        198        216        234        252        270
Ping Pong                                  81         90         99         108        117        126        135        144        153        162        171        180        198        216        234        252        270
Table tennis                               81         90         99         108        117        126        135        144        153        162        171        180        198        216        234        252        270
Dancing (non-contact)                      90        100         110        120        130        140        150        160        170        180        190        200        220        240        260        280        300
Golfing (walking, without cart)            90        100         110        120        130        140        150        160        170        180        190        200        220        240        260        280        300
Walking, 6.4 kph (9:22 min/km)             90        100         110        120        130        140        150        160        170        180        190        200        220        240        260        280        300
Waxing the car                             90        100         110        120        130        140        150        160        170        180        190        200        220        240        260        280        300
Weeding                                    90        100         110        120        130        140        150        160        170        180        190        200        220        240        260        280        300
Trimming hedges                            94        105         115        126        136        147        158        168        178        189        199        210        231        252        273        294        315
Tennis (doubles)                           99        110         121        132        143        154        165        176        187        198        209        220        242        264        286        308        330
Aerobic dancing (low impact)              104        115         127        138        149        161        172        184        195        207        218        230        253        276        299        322        345
Swimming (22.86 m/min)                    108        120         132        144        156        168        180        192        204        216        228        240        264        288        312        336        360
Volleyball (game)                         108        120         132        144        156        168        180        192        204        216        228        240        264        288        312        336        360
Bicycling, 16 kph (3:45 min/km)           112        125         138        150        162        175        188        200        213        225        237        250        275        300        325        350        375
Weight training (90 sec. between sets)    112        125         138        150        162        175        188        200        213        225        237        250        275        300        325        350        375
Basketball (leisurely, non-game)          117        130         143        156        169        182        195        208        221        234        247        260        286        312        338        364        390
Snow skiing, downhill                     117        130         143        156        169        182        195        208        221        234        247        260        286        312        338        364        390
Canoeing, 6.4 kph                         122        135         149        162        175        189        202        216        230        243        257        270        297        324        351        378        405
Mowing                                    122        135         149        162        175        189        202        216        230        243        257        270        297        324        351        378        405
Scrubbing the floor                       126        140         154        168        182        196        210        224        238        252        266        280        308        336        364        392        420
Stair climbing                            126        140         154        168        182        196        210        224        238        252        266        280        308        336        364        392        420
Aerobics, step training, 10 cm step       131        145         160        174        189        203        218        232        247        261        276        290        319        348        377        406        435
(beginner)
Aerobics, slide training (basic)          135        150         165        180        195        210        225        240        255        270        285        300        330        360        390        420        450
Badminton                                 135        150         165        180        195        210        225        240        255        270        285        300        330        360        390        420        450
Cross-country snow skiing (leisurely)            140        155        171         186          202   217   232   248   263   279   294   310   341   372   403   434    465
Hiking, no load                                  140        155        171         186          202   217   232   248   263   279   294   310   341   372   403   434    465
Stair climber machine                            144        160        176         192          208   224   240   256   272   288   304   320   352   384   416   448    480
Tennis                                           144        160        176         192          208   224   240   256   272   288   304   320   352   384   416   448    480
Water skiing                                     144        160        176         192          208   224   240   256   272   288   304   320   352   384   416   448    480
Backpacking with 4.5 kg load                     162        180        198         216          234   252   270   288   306   324   342   360   396   432   468   504    540
Hiking with 4.5 kg load                          162        180        198         216          234   252   270   288   306   324   342   360   396   432   468   504    540
Rowing machine                                   162        180        198         216          234   252   270   288   306   324   342   360   396   432   468   504    540
Jogging, 8 kph (7:30 min/km)                     167        185        203         222          240   259   278   296   315   333   352   370   407   444   481   518    555
Scuba diving                                     171        190        209         228          247   266   285   304   323   342   361   380   418   456   494   532    570
Weight training (60 sec. between sets)           171        190        209         228          247   266   285   304   323   342   361   380   418   456   494   532    570
Snow shovelling                                  176        195        215         234          253   273   292   312   332   351   371   390   429   468   507   546    585
Soccer                                           176        195        215         234          253   273   292   312   332   351   371   390   429   468   507   546    585
Backpacking with 9 kg load                       180        200        220         240          260   280   300   320   340   360   380   400   440   480   520   560    600
Bicycling, 21 kph (2:51 min/km)                  180        200        220         240          260   280   300   320   340   360   380   400   440   480   520   560    600
Hiking with 9 kg load                            180        200        220         240          260   280   300   320   340   360   380   400   440   480   520   560    600
Racquetball                                      185        205        225         246          266   287   308   328   349   369   389   410   451   492   533   574    615
Squash                                           185        205        225         246          266   287   308   328   349   369   389   410   451   492   533   574    615
Cross-country snow skiing (moderate)             198        220        242         264          286   308   330   352   374   396   418   440   484   528   572   616    660
Basketball (game)                                198        220        242         264          286   308   330   352   374   396   418   440   484   528   572   616    660
Swimming (45.72 m/min)                           202        225        248         270          292   315   338   360   382   405   428   450   495   540   585   630    675
Handball                                         207        230        253         276          299   322   345   368   391   414   437   460   506   552   598   644    690
Jogging, 9.7 kph (6:11 min/km)                   207        230        253         276          299   322   345   368   391   414   437   460   506   552   598   644    690
Backpacking with 13.6 kg load                    211        235        259         282          306   329   352   376   399   423   446   470   517   564   611   658    705
Hiking with 13.6 kg load                         211        235        259         282          306   329   352   376   399   423   446   470   517   564   611   658    705
Weight training (40 sec. between sets)           230        255        280         306          332   357   382   408   433   459   484   510   561   612   663   714    765
Skipping rope                                    257        285        313         342          370   399   428   456   484   513   541   570   627   684   741   798    855
Running, 12.9 kph (4:39min/km)                   274        305        336         366          396   427   458   488   518   549   579   610   671   732   793   854    915
Cross-country snow skiing (intense)              297        330        363         396          429   462   495   528   561   594   627   660   726   792   858   924    990
Running, 14.5 kph (4:08 min/km)                  297        330        363         396          429   462   495   528   561   594   627   660   726   792   858   924    990
Running, 16 kph (3:45 min/km)                    315        350        385         420          455   490   525   560   595   630   665   700   770   840   910   980   1050

* Source: Reprinted with permission of CyberSoft, Inc., Phoenix Arizona. <www.nutribase.com>.
                     RM 4–NU: Resting Metabolic Rate (RMR) Calculator*




                            RMR Calculator—Male
                         body mass (kg) age (years)
Enter information >

                         Total RMR =                       0 Cal per day




                           RMR Calculator—Female
                         body mass (kg) age (years)
Enter information >

                         Total RMR =                       0 Cal per day

* Source of Formulas: Livingston, Edward H., and Ingrid Kohlstadt. “Simplified Resting Metabolic Rate-Predicting Formulas
  for Normal-Sized and Obese Individuals.” Obesity Research 13.7 (July 2005): 1255-62.

				
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