Check-Out Materials

SHE Check Out

Participant: ___________________

[INSERT DATE]

Time: _______________

SHE Check Out Form: Weight Check In Weight Mid-Point Check Out Weight

Measure

Check In

Check Out

Height Blood Pressure Waist Circumference Balance Test Cardio Step Test: Resting Heart Rate Cardio Step Test: Recovery Heart Rate

10000

Sample Average Weekly Step Chart

8000 6000 4000

Average Steps

2000 0 1

2

3

4

5

6

7

8

9 10 11 12 13

Check-Out; Page 225