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Physical Activity Journal Template

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Physical Activity Journal Template

🏃‍♀️ Daily Activity Log

Instructions: Complete this section each day for 3 weeks (21 days total). Use a scale of 1-10 for mood and energy levels (1 = very low, 10 = excellent).

Day: _____ Date: ___/___/______
1. Type of Physical Activity:
2. Duration: _______ minutes
3. Intensity Level:

Light (e.g., gentle walking, stretching)

Moderate (e.g., brisk walking, cycling)

Vigorous (e.g., running, competitive sports)

4. Mood Level BEFORE activity: ___/10
5. Energy Level BEFORE activity: ___/10
6. Mood Level AFTER activity: ___/10
7. Energy Level AFTER activity: ___/10
8. Barriers encountered today (if any):
9. Supports that helped me be active today:

📊 Weekly Reflection (Complete at end of each week)

Week Number: _____ (Week 1, 2, or 3)
1. What trends do you notice in your mood and energy levels before and after physical activity?
2. Which types of activities had the most positive impact on your well-being this week?
3. What were your main barriers to physical activity this week?
4. What supports were most helpful in maintaining your activity levels?
5. Based on this week's data, what adjustments will you make next week to improve your well-being?

🎯 Final Evaluation (Complete after 3 weeks)

1. Compare your overall well-being from Week 1 to Week 3. What changes do you notice?
2. Devise THREE specific strategies for maintaining lifelong physical activity based on your journal findings:

Strategy 1: ________________________________________________

Strategy 2: ________________________________________________

Strategy 3: ________________________________________________

3. How will you overcome the barriers you identified during this 3-week period?

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