Daily Activity Sheet
(items checked by Gerry & another person when completed)

Date:___________________
Day: Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Kim Day (usually Wednesday)
Doctor Appt Name ______________________"Chauffeur du Jour"___________________Time_______
Blood Draw Appt

AM Bathing:
Face & Torso
AM Brush Teeth & Gums
Shower
Wash Hair

Breakfast
AM Meds:
Sprinkles
Pills (7)
Snack

Change Clothing
Put on Makeup

Afternoon:
Lunch

Laundry
Snack

Bedroom:
Water Plants
Dust
Vacuum

Bathroom:
Floors
Shower
Sink
Toilet Bowl

2:00 Meds
Snack

Evening:
Lock Doors

Dinner
PM Meds:
Sprinkles
Pills (3)
Miralax
Snack

Evening Bathing:
Face
Torso
Brush Teeth & Gums
Sonic Clean Dentures