ACTIVITY
LOG
Five for Life Activity Diamond Intensity Levels
Circuit Worksheet
Name _____________________________ Period ­­­­­­­­­­_____ Date ____/____/____
Complete the question that corresponds to the intensity level station at the end of each rotation of the
“Five for Life Activity Diamond Intensity Levels Circuit”.
Media / Seat Level:
1. Your highest Heart Rate during this activity ____________ (Look at your heart rate monitors or
take your pulse by placing your index and middle finger on their carotid artery located on either
side of their esophagus (neck). On teacher’s cue or looking at a clock count the number of heart
beats in six seconds and place a “0” on the end.
2. Media / Seat list (list as many activities as you can think of that would fit into this category)
_ _____________________ ______________________
________________________
_ _____________________ ______________________
________________________
_ _____________________ ______________________
________________________
_ _____________________ ______________________
________________________
Daily Activity Level:
1. Your highest Heart Rate during this activity ____________
2. Circle all the adjectives describing how you felt during the activity in each of the following
categories or write in your own adjective:
Difficulty – very easy, easy, moderate, vigorous, very hard, ________
Talk Test – I can talk with no effort, I can talk with almost not effort, talking takes some effort, I
can talk but I really don’t want to, no talk zone, ______________
Comfort Level – I am comfortable, slightly uncomfortable, don’t really want to do this, I can only
do this pace for a short period of time, I am beginning to sweat _____________ 3. List examples of activities you do in daily life which made you feel similar to the way you felt
during this activity.
_ _____________________ ______________________
________________________
_ _____________________ ______________________
________________________
Base Level:
1. Your highest Heart Rate during this activity ____________
2. Circle all the adjectives describing how you felt during the activity in each of the following
categories or write in your own adjective:
Difficulty – very easy, easy, moderate, vigorous, very hard, ________
Talk Test – I can talk with no effort, I can talk with almost not effort, talking takes some effort, I
can talk but I really don’t want to, no talk zone, ______________
Comfort Level – I am comfortable, slightly uncomfortable, don’t really want to do this, I can only
do this pace for a short period of time, I am beginning to sweat _____________ 3. List examples of activities you do in daily life which made you feel similar to the way you felt
during this activity.
_ _____________________ ______________________
________________________
_ _____________________ ______________________
________________________
© 2008 Focused Fitness All rights reserved.
2.40
ACTIVITY
LOG
Five for Life Activity Diamond Intensity Levels
Circuit Worksheet - continued
Heart Health Level:
1. Your highest Heart Rate during this activity ____________
2. Circle all the adjectives describing how you felt during the activity in each of the following
categories or write in your own adjective:
Difficulty – very easy, easy, moderate, vigorous, very hard, ________
Talk Test – I can talk with no effort, I can talk with almost not effort, talking takes some effort, I
can talk but I really don’t want to, no talk zone, ______________
Comfort Level – I am comfortable, slightly uncomfortable, don’t really want to do this, I can
only do this pace for a short period of time, I am beginning to sweat _____________ 3. List examples of activities you do in daily life which made you feel similar to the way you felt
during this activity.
_ _____________________ ______________________
________________________
_ _____________________ ______________________
________________________
Max Level:
1. Your highest Heart Rate during this activity ____________
2. Circle all the adjectives describing how you felt during the activity in each of the following
categories or write in your own adjective:
Difficulty – very easy, easy, moderate, vigorous, very hard, ________
Talk Test – I can talk with no effort, I can talk with almost not effort, talking takes some effort, I
can talk but I really don’t want to, no talk zone, ______________
Comfort Level – I am comfortable, slightly uncomfortable, don’t really want to do this, I can
only do this pace for a short period of time, I am beginning to sweat _____________ 3. List examples of activities you do in daily life which made you feel similar to the way you felt
during this activity.
_ _____________________ ______________________
________________________
_ _____________________ ______________________
________________________
© 2008 Focused Fitness All rights reserved.
2.41