A simple tool to help

talk to your doctor about

your physical activity
Daily physical activity can make a difference
in your health

Talk to your personal doctor about your current exercise level,

and ask if you should make any changes. Bring this helpful checklist
to your next appointment to discuss safe exercises to help improve
strength, balance and stamina.

Talk to your doctor about ways to get active and healthier

I want to talk to my doctor about: My doctor recommended:

Starting an exercise routine Taking the stairs instead of the elevator
Increasing exercise level Walking more often or longer
Maintaining exercise level Doing strength training
Physical therapy
Notes: _______________________________
Balance training
______________________________________
______________________________________ Tai chi or yoga
______________________________________ Other______________________________________

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