5MBody Weekly Progress Report

Please fill out the form below so we can keep track of your progress!

Full Name

What are 2 wins from this past week?

Any current challenges or barriers that you are experiencing? If so, please list them.

Are you having a normal bowel movement daily?

Are you drinking 1/2 of your body weight in water each day? (Example: If you weigh 140 pounds, you should consume a minimum of 70 ounces daily)

Are you moving your body daily? (at least 30 minutes of activity like walking or weights)

How is your sleep? Sleeping through the night? Waking during the night? Going to sleep by 10:30 pm?

What served you MOST in this program?

Is there anything specific I can support you with at this time?

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