services  S.P.O.R.T. Center Weight Management Program Weekly Exercise Self-Reporting Name: Week Of: For the statements below, answer “yes” or “no.” If you answer “yes” add any comments you feel pertinent. If you answer “no” indicate why. YES NO Explanation Other Comments I made exercise a high priority for my week’s activities. I scheduled, in writing, my exercise sessions into my week. I exercised according to the schedule I determined for myself. I did not set a schedule for myself, but I exercised as follows: I exercised according to my exercise prescription to the best of my ability. ©2004 Mammoth Hospital Home | Contact Us | Site Map | Disclaimer | Privacy StatementEn Español