Gait Training Session Log Form
Gait Training Session Log Form
Participant/Client Identifier
*
Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Session Time
*
Hour Minutes
AM
PM
AM/PM Option
Therapist/Trainer Name
*
First Name
Last Name
Location
*
Gait Training Method or Activity Performed
*
Please Select
Treadmill Training
Overground Walking
Stair Training
Balance Exercises
Obstacle Navigation
Other
Assistive Device Used
*
Please Select
None
Walker
Cane
Crutches
Parallel Bars
Other
Session Duration (minutes)
*
Session Observations
*
Follow-Up or Next-Step Notes
*
Submit Session Log
Should be Empty: