Skip to Content
Make a chart with three columns and as many rows you need for your exercises. The chart can help you see your progress in
the level 1 and level 2 exercises for
Put the date in the first column. In the second column, write down how many times you did the exercise and whether you had your eyes open or closed. In the third column, write down how you felt when you did the exercise.
Make six copies, and use one for each
exercise. Add any comments about how you feel.
See the example below.
Times/Eyes closed or open
Comments (how you feel, etc.)
ByHealthwise StaffPrimary Medical ReviewerAnne C. Poinier, MD - Internal MedicineSpecialist Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
Current as ofNovember 20, 2015
Current as of:
November 20, 2015
Anne C. Poinier, MD - Internal Medicine & E. Gregory Thompson, MD - Internal Medicine
To learn more about Healthwise, visit Healthwise.org.
© 1995-2016 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
© Copyright 2017 Rush-Copley Medical Center • 2000 Ogden Avenue; Aurora, IL 60504
Main: 630-978-6200 • Physician Referral & Information: 630-978-6700 or 866-4COPLEY (866-426-7539)