Hand Therapy Exercise Log
Log and track your hand therapy exercises for each session.
Patient Full Name
*
First Name
Last Name
Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Therapist Name
*
First Name
Last Name
Exercise Name
*
Please Select
Grip Strengthening
Finger Extension
Thumb Opposition
Wrist Flexion/Extension
Pinch Exercise
Other
Sets Completed
*
Repetitions per Set
*
Duration (minutes)
*
Pain Level During Exercise
*
No pain
0
1
2
3
4
5
6
7
8
9
Severe pain
10
0 is No pain, 10 is Severe pain
Comfort or Difficulty Level
*
Very Comfortable
Comfortable
Neutral
Mild Discomfort
Uncomfortable
Additional Notes or Observations
Submit Log
Should be Empty: