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
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