Weight & Life Style
Management
Day 86 Name: ___________________________ Date ______________
Morning Weight ______________ Evening Weight __________________
Reflection: Men do not care how nobly they live, but only how long, although it is within the reach of every man to live nobly, but within no man's power to live long. - Seneca
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)
