WEEKLY SUMMARY FORM

Please try to use the same method each time youmake a measurement

Did you follow your Fit For Life Weight Management recommendations in each of the categories this past week.

Please indicate whether you followed the recommendations given to you for the following times:

Activity YES NO
Breakfast
A.M. Snack
Lunch
P.M. Snack
Dinner
Eve. Snack
Enzymes
Exercise

Thank you