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Homework2
Phone
First Name
*
Last Name
*
Email Address
*
Phone Number
*
What was your weight at the end of week 1?
*
Clothing Size
*
Have you noticed a change in how your clothing fits?
*
No, my clothes fit the same.
Yes, my clothes are looser.
Yes, my clothes are tighter.
Did you eat or drink anything outside of items listed in the manual this week? If so, please explain.
*
What upcoming challenges do you have this week?
*
Do you have any specific coaching needs?
*
Do you have any travel during week 3?
*
Yes
No
Trip Start Date
*
Trip End Date
*
What are your modes of transportation?
*
Car
Plane
Boat
Train
Other
Please select all methods of transportation you'll need help planning for.
Where are you going?
*
Please include all destinations.
In what hotel(s) will you be staying?
*
Please include the exact name of the hotel and address if possible.
