Go directly to page contentNational Cholesterol Education Month Kit, September 2007

Chart Your Progress - Reach Your Goal


Date
 
__________
 
 
LDL Goal
 
_____________
Test Results
   
Total cholesterol:   _____________
   
LDL cholesterol:   _____________
   
HDL cholesterol:   _____________
   
Triglycerides:   _____________
Action
   
Diet:   _____________
   
Physical Activity:   _____________
   
Weight Loss:   _____________
   
Medication:   _____________
   

Repeat Test:

Date
 
__________
 
 
LDL Goal
 
_____________
Test Results
   
Total cholesterol:   _____________
   
LDL cholesterol:   _____________
   
HDL cholesterol:   _____________
   
Triglycerides:   _____________
Action
   
Diet:   _____________
   
Physical Activity:   _____________
   
Weight Loss:   _____________
   
Medication:   _____________
   

Repeat Test:

Date
 
__________
 
 
LDL Goal
 
_____________
Test Results
   
Total cholesterol:   _____________
   
LDL cholesterol:   _____________
   
HDL cholesterol:   _____________
   
Triglycerides:   _____________
Action
   
Diet:   _____________
   
Physical Activity:   _____________
   
Weight Loss:   _____________
   
Medication:   _____________
   

 

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