Weight & Life Style
Management
Day 18 Name: ___________________________ Date ______________
Morning Weight ______________ Evening Weight __________________
Reflection: Cherish that which is within you, and shut off that which is without; for much knowledge is a curse. Chuang Tzu
Goal of the Day ____________________________________________________________________
Activities of the Day Goal in Minutes Actual Minutes
1) ____________________ ___________ _____________
2) ____________________ ___________ _____________
3)____________________ ___________ _____________
Prescriptions 1)____________, mg ___ 2) ____________, mg ___
3)____________, mg ___, 4) ____________, mg ___
Coffee Y / N oz ____ Soda Pop Y / N oz ____ Fruit Juice _________, oz ___
Water ________________ oz Alcohol type _________________, ________ oz
Sweets and Empty Calorie Food - Food with no nutritional value - Tobacco _________ #_____
_____________________________________________________________________________________________
Fruits and Vegetables
Proteins - What kind and how many grams (include powders, i.e. Whey)
