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Weekly Record of Activity

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

C. Weekly Record of Activity

Use the Weekly Record of Activity to record your current activity, particularly if your lifestyle doesn't vary much from day to day (otherwise use the Daily Record of Activity) - what you are doing, how long you do it for, is it High, Medium or Low energy use?  Build up a picture of how you currently spend your time and energy.  


Completing the Weekly Record of Activity will show you the strengths and weaknesses of your current lifestyle.  Do you have the right balance of rest and activity?  Using this information will help you when considering an improved and more balanced routine, to be entered on the Daily or Weekly Routine Planner.  


There is 1 completed example 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.

WEEKLY RECORD OF ACTIVITY - EXAMPLE

Weekly Record of Activity EXAMPLE (pdf)

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WEEKLY RECORD OF ACTIVITY - BLANK

Weekly Record of Activity BLANK (pdf)

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Weekly Record of Activity 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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