Date: ________________________
Type: __________________________________________________________________ Duration: _______________________________________________________________ Intensity: (*E.H.R.) ______________________ (**R.H.R.) ________________________ Comments: _____________________________________________________________
Nutrition Check   Dairy Meat Fruits Veg. Grains Fats Water	Success Check   Cardio Strength Flexibility Water Other ____________________ ____________________
1 box = 1 serving 1 box = 10 grams of fat (for Fats Category) *Exercise Heart Rate - Pulse during exercise **Resting Heart Rate - Pulse during rest after cool-down from exercise.