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    Setting goals

    Bring this sheet with you when you visit your doctor. Working together, you can use this sheet to develop your exercise program.

    Special tests I need before begin an exercise program (if any):

    My chronic health conditions are:

    Exercises to help with these conditions are:

    Exercises I should not do include:

    Community resources and contacts (like the local YMCA) that might be useful to me:

    Community resource

    Contact information

    Personal supports (like family members or exercise partners) who might help me include:

    Other questions I have about beginning an exercise program are:

    Warning signs I need to watch for are:

    Other questions I have about beginning an exercise program:

    Steps to take to get started include:

    Exercise goals

    The three things I want to accomplish most by exercising are:

    Physical activities I enjoy:

    Physical activities I would like to try:

    My initial exercise program will be:

    Aerobic exercises I will do:

    How often:_______________

    How long:________________

    Strength and balance exercises I will do:

    How often:_______________

    How long:________________

    Flexibility exercises I will do:

    How often:_______________

    ByHealthwise Staff
    Primary Medical ReviewerAdam Husney, MD - Family Medicine

    Current as ofNovember 14, 2014

    WebMD Medical Reference from Healthwise

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    Heart Rate Calculator

    Ensure you're exercising hard enough to get a good workout, but not strain your heart.

    While you are exercising, you should count between...

    -
    Beats
    PER
    Seconds