January 2019 Weekly Accountability Check-In
Hi friend,

Welcome to the weekly accountability form where you will account to me each week how you did on the program and report your weekly goals. All information you submit on this form is kept confidential and will not be shared publicly unless specific permission has been given. I will review your submission and reply to any questions each week. If your questions are not personal and can be answered in the Facebook group, please answer them there to help me avoid answering questions multiple times.

When you are accountable to someone for your goals, your ability to succeed increases. Take 5 mins to fill out this brief accountability form every Monday morning. YOUR FIRST WEEK SUBMITTING THIS FORM YOU ONLY NEED TO ANSWER THE FIRST 3 QUESTIONS! Accountability plays a huge part in making healthy changes, you are doing amazing! Keep up the great work.

- Viktoria

Date *
MM
/
DD
/
YYYY
First & Last Name *
Your answer
Starting Weight? *
Your answer
Days you followed the meal plan 100%?
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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