Make a copy of this form for each week of your pregnancy. Use this form to keep track of when, what, and how long you do a physical activity.

My Daily Physical Activity Record
Week Starting: ________________________ Type of Activity Minutes
Monday    
Tuesday    
Wednesday    
Thursday    
Friday    
Saturday    
Sunday    

PDF Version (52 KB) *

Return to What I need to know about Preparing for Pregnancy if I Have Diabetes