Weekly Accountability Form
Take 5 mins to fill out this brief accountability form every Monday morning. Accountability plays a huge part in making healthy changes. (For your first weigh in on May 7th 2018 you only need to fill out the first 3 questions). When you are accountable to someone for your goals, your ability to succeed increases.
Date
MM
/
DD
/
YYYY
First & Last Name *
Your answer
Current Weight? *
Your answer
Days you followed the meal plan 100%?
Days you followed the "Lose It In 6" guidelines for breakfast?
Days you followed the "Lose It In 6" guidelines for lunch?
Days you followed the "Lose It In 6" guidelines for dinner?
Days you exercised for at least 30 mins?
What was your (1) health goal this week?
Your answer
Select the days you followed your (1) health goal?
What was your (2) health goal this week?
Your answer
Select the days you followed your (2) health goal?
What was your (3) health goal this week?
Your answer
Select the days you followed your (3) health goal?
Weekly Struggles:
Your answer
Weekly Successes:
Your answer
How you will improve this coming week:
Your answer
Comments or Questions for Viktoria:
Your answer
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