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Diabetes     

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Inner Beauty

Burn It Off

Calorie Counting

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Entry Form

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Inner Beauty Solutions  consult your physician before beginning any weight loss program, project, or plan

Choose It and Lose It with me...the weight project that rewards

Jot it Down         

Date:   

Weight:

Goal Weight:

How I Plan to Achieve This Goal:

What is your personal weight lose plan?                                                                             How are you going to lose weight within  25 days?                                                          What healthy changes do you plan to make in your eating habits?                                  How will you maintain your healthy eating changes?                                                             How can you reduce bad eating habits?                                                                             How often are you going to include exercise in your schedule?                                            What items should you avoid to reach your goal?

WEEKLY EXERCISE CHART

DAY

DATE

EXERCISE

TIME

CALORIES BURNED

Mon.

 

 

 

 

Mon.

 

 

 

 

Mon.

 

 

 

 

Tues.

 

 

 

 

Tues.

 

 

 

 

Tues.

 

 

 

 

Wed.

 

 

 

 

Wed.

 

 

 

 

Wed.

 

 

 

 

Thurs.

 

 

 

 

Thurs.

 

 

 

 

Thurs.

 

 

 

 

Fri.

 

 

 

 

Fri.

 

 

 

 

Fri.

 

 

 

 

Sat.

 

 

 

 

Sat.

 

 

 

 

Sat.

 

 

 

 

Sun.

 

 

 

 

Sun.

 

 

 

 

Sun.

 

 

 

 

TOTAL

 

 

 

 

 Must participate in a minimum of 2 segments starting Jan 12, 200 or Feb 9, 200                               1)January 12 - February 5, 200    2)February 9, 200 - March 5, 200    3)March 9, 200 - April 3, 200 4) April 6, 200 – May 1, 200

Food/Exercise Diary

You can write your food intake and exercise information on the calendar at the end of this document or include them here as part of the diary.  Other suggestions: record your weight once a week and your measurements every 1-2 weeks. 

Journal (write down your goals, thoughts, ideas, food intake and exercise diary (or record those on the calendar dates at the end of this document), frustrations, weight loss tips and ideas, ambitions, and anything else you can think of to help you on your weight loss journey!

DAY 1 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 2 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 3 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 1 – Date: ____________________________

Goals for Today: ________________________________

Journal

DAY 4 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 5 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 6 – Date: ____________________________

Goals for Today: ________________________________

Journal

DAY 7 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 8 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 9 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 10 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 11 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 12 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 13 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

 

DAY 14 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 15 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 16 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 17 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 18 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 19 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

   

DAY 20 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 21 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 21 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 22  – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 23 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 24 – Date: ____________________________

Goals for Today: ________________________________

Journal

 

DAY 25 – Date: ____________________________

Goals for Today: ________________________________

Journal

 Limited to 20 Participants Join Now!

Weight Loss Goal is divided into segments (approx 5 -10lbs every 25 days)Smaller goals are easier to reach.

Weight loss segments:                              Jan 12th - Feb 5th break                                                                             *Next Feb 9th - March 5th break                                                                     March 9th - April 3rd break                                                                   Extended Ending Date April 6, 2009 – May 1, 2009     Must participate in a minimum of 2 segments 

 

I challenge you to loose 10 - 20 pounds with me...Your reward will be well worth it...

Registration and Photo Shoot  by February 9, 2009,  Registration Days:  February 4th Wednesday , Thursday 5th,  Friday 6th and Saturday 7th, 2009 Scheduled Time:11:00am  - 2:00pm           Commitment Fee: $8.  per segment                          Meet the Choose it and Lose it Challenge and receive a Reward. Minimum weight lose 10lbs.

 

 

facial consultation: Female achieving weight loss objective. stock photos

Contact me at: chooseitandloseit09@galacar.com     

              

 

                                                                                              

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