NAME:  

EMAIL:  

DATE:  

I.  POSITIVE AFFIRMATION (add your own)

II.  STRESS-REDUCTION/RELAXATION EXERCISE (add your own)

III.  HEALTHY THING I DID FOR MYSELF TODAY:

IV.  WHAT I ATE TODAY:  Try to be as specific as possible by including amounts, etc.

Breakfast - Time: 

Lunch - Time: 

Dinner - Time:

Snacks - list times and what you had:

Beverages/Water (check a box for each 8 oz. glass you drank today:                       

V.  EXERCISE (How many minutes?  What did you do?)

VI.  SUPPLEMENTATION:  Check off only those that apply to you.  

I took my TransitionsTM  weight-management supplements (read label for directions):

Carbohydrate Absorption Inhibitor (CAI)
1 capsule, 3 times daily     		Isotonix MultiVitamin
1 capful per day  
Fat Conversion Inhibitor (FCI)
2 tablets, 3 times daily         		Conjugated Linoleic Acid (CLA)
2 capsules, 2 times daily       
Thermochrome
2 tablets, 2 times daily      		ACTS (Adrenal, Cortisol, Thyroid, Stress Formula)
2 capsules per day    

VII.  JOURNALING: Good to include how you feel mentally and physically; what's going well; any challenges; etc.