52 week weight loss journal
TRANSCRIPT
WEEK 1DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 2DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 3DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 4DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 5DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 6DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 7DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 8DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 9DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 10DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 11DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 12DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 13DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 14DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 15DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 16DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 17DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 18DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 19DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 20DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 21DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 22DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 23DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 24DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 25DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 26DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 27DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 28DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 29DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 30DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 31DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 32DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 33DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 34DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 35DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 36DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 37DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 38DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 39DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 40DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 41DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 42DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 43DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 44DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 45DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 46DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 47DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 48DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 49DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 50DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 51DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
WEEK 52DATE_____________ to _____________ ANY LOSS?
WEIGHT_________ kg
MEASUREMENTS
Upper Arm:
_________ cm
Bust:
_________ cm
Waist:
_________ cm
Hips:
_________ cm
Bottom:
_________ cm
Thighs:
_________ cm
Calves:
_________ cm
NOTES:__________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _________________
MONDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
TUESDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
WEDNESDAYVitamins: Exercise:
AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
THURSDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
FRIDAYVitamins:____________________________________
Exercise:AM _____________________________________PM _____________________________________
☐☐☐☐
☐☐
Water:☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ kg
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm
_________ cm