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Module 3 - Exercise Prescription

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Exercise Prescription Form

Instruction: Design your own fitness plan by filling out this form.
Eg. Exercise 1: Push Ups Duration : 3 mins. Reps: 4 Sets: 4

● Cardiovascular Conditioning

✔ Warm-Up:

Exercise 1: Side Bends Duration : 2 mins. Reps: 10 Sets: 2


Exercise 2: Oblique Twist Squat Duration : 2 mins. Reps: 10 Sets: 2
Exercise 3: Arm Circles Duration : 2 mins. Reps: 10 Sets: 2
Exercise 4: Step Back Jacks Duration : 2 mins. Reps: 10 Sets: 2

● Muscular Resistance Training

✔ Conditioning:

Exercise 1: Sumo Squats Duration : 2 mins. Reps: 10 Sets: 2


Exercise 2: High Plank Shoulder Taps Duration : 2 mins. Reps: 10 Sets: 2
Exercise 3: Squats Duration : 2 mins. Reps: 10 Sets: 2
Exercise 4: Forward Lunges Duration : 2 mins. Reps: 10 Sets: 2
Exercise 5: Back Lunges Duration : 2 mins. Reps: 10 Sets: 2
Exercise 6: Jumping Jacks Duration : 2 mins. Reps: 10 Sets: 2
Exercise 7: Boxer Bounce Duration : 2 mins. Reps: 10 Sets: 2
Exercise 8: Squat Jump Duration : 2 mins. Reps: 10 Sets: 2
Exercise 9: Jog in Place Duration : 30 secs. Reps: 0 Sets: 2
Exercise 10: Mountain Climbers Duration : 2 mins. Reps: 10 Sets: 2
a. Frequency: 4 x a week (put check on the day/s below)
Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday
✔ ✔ ✔ ✔

b. Intensity: (check your risk stratification)


✔ Low Risk -> Moderate to High Intensity
______Moderate Risk -> Low to Moderate Intensity
______High Risk -> Low Intensity

c. Time: 34 min/session 1hr 16 min/week

d. Type: (check the exercises you will include in your program)


Cardiovascular Muscular Strength
_____Walking _____Push Ups
_____Brisk Walking _____Curl Up
✔ Running ✔ Lunges
_____Biking ✔ Squat
_____Dancing _____Lifting Weights

Others:______________________________________________________________________

✔ Cool Down:

Exercise 1: Heel Press Duration : 2 mins. Reps: 10 Sets: 2


Exercise 2: Shoulder Stretch Duration : 2 mins. Reps: 10 Sets: 2
Exercise 3: Chest Cross Arm Swing Duration : 2 mins. Reps: 10 Sets: 2
Exercise 4: Head Tilt Duration : 2 mins. Reps: 10 Sets: 2
GROUP 2 (BSA1-06)

Bayno, Jian Grancho


Dellera, Isshi Mae
Merced, Haris Kent Soriano
Rosario, Erica Alcantara
Vallarit, Sheila Mae Reyes

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