Weekly Study Form | Cognomovement

First Name

Last Name

Session Title

Week Number

Progress Preference

Weight

Measurement

Clothes Size

Weight

Measurement

Clothes Size

How are you feeling about your body/weight/size/measurment today?

What changes, if any, have you seen this week? (Can include overall outlook as well. If none, please type "None".)

Have you had any significant shifts in perspective?

Yes

No

Please explain

Other Notes

Thanks for submitting!

Avalon BIMM LLC

San Dieo, CA USA