Weekly Check-In

LIVVY CHOO FITNESS

* Indicates required field

Name *

First

Last

Where do you see changes *

Face Stomach Back Legs Hips Arms Chest None

What Is Your Weight *

Check all the items that apply to what you’ve eaten this week. *

Cake Cookies French Fries Soda Ice Cream Candy Wine Beer Other Alcohol Fried Chicken Pizza Bread Pasta Fast Food

How many times did you work out this week? *

What are your thoughts for this week? *

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