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Activity Categories

A - Activity Categories
B - Daily Record of Activity
C - Weekly Record of Activity
D - Daily Routine Planner
E - Weekly Routine Planner
F - Symptom Score Chart
G - Daily Diary Grid
H - Symptom Categories & Warning Signs

A. Activity Categories

The Activity Categories form helps you consider ALL the different activity you do and whether it uses a High, Medium or Low amount of energy. 


Categorising activity in this way will enable you to understand how you spend your energy and help when planning a balanced routine.  There are further explanatory notes on the form itself. 


There are 2 completed examples (one showing a lower level of activity and the other with higher levels of activity) and 1 blank template of this form.   Blank forms are available in Word or PDF format.  Example forms are available in PDF format only.   Click on the DOWNLOAD buttons below.

ACTIVITY CATEGORIES LOWER LEVEL ACTIVITY - EXAMPLE

Activity Categories - Lower Activity Level - EXAMPLE (pdf)

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ACTIVITY CATEGORIES HIGHER LEVEL ACTIVITY - EXAMPLE

Activity Categories - Higher Activity Level - EXAMPLE (pdf)

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ACTIVITY CATEGORIES-BLANK FORM

Activity Categories - BLANK (pdf)

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Activity Categories - BLANK (WORD) (docx)

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CLICK BELOW TO DOWNLOAD A PDF OF ALL THE FORMS AND TEXT - 32 pages (3.3 MB)

Total ME Forms Website (pdf)

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