APPENDIX

Download the following sheet for convenient use.

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SLEEP METRICS

EXERCISE MATTERS

MEALS

Monday

Sleep estimate:_____________

continuous/uninterrupted

Quality: __________________

Time I got in bed: __________

Time I woke up: ___________

Run-walk (min): _____

Steps: _____

Breakfast

AM snack

Lunch

PM snack

Dinner

Tuesday

Sleep estimate:_____________

continuous/uninterrupted

Quality: __________________

Time I got in bed: __________

Time I woke up: ___________

Run-walk (min): _____

Steps: _____

Breakfast

AM snack

Lunch

PM snack

Dinner

Wednesday

Sleep estimate:_____________

continuous/uninterrupted

Quality: __________________

Time I got in bed: __________

Time I woke up: ___________

Run-walk (min): _____

Steps: _____

Breakfast

AM snack

Lunch

PM snack

Dinner

Thursday

Sleep estimate:_____________

continuous/uninterrupted

Quality: __________________

Time I got in bed: __________

Time I woke up: ___________

Run-walk (min): _____

Steps: _____

Breakfast

AM snack

Lunch

PM snack

Dinner

Starting Line Report Card

HEALTH NUMBERS

REFLECTIONS

Weight: __________

Waist: __________

Body fat % __________

BP: _____/_____

I feel…

What works well for me?

Friday

Sleep estimate:_____________

continuous/uninterrupted

Quality: __________________

Time I got in bed: __________

Time I woke up: ___________

Run-walk (min): _____

Steps: _____

Breakfast

AM snack

Lunch

PM snack

Dinner

Saturday

Sleep estimate:_____________

continuous/uninterrupted

Quality: __________________

Time I got in bed: __________

Time I woke up: ___________

Run-walk (min): _____

Steps: _____

Breakfast

AM snack

Lunch

PM snack

Dinner

Sunday

Sleep estimate:_____________

continuous/uninterrupted

Quality: __________________

Time I got in bed: __________

Time I woke up: ___________

Run-walk (min): _____

Steps: _____

Breakfast

AM snack

Lunch

PM snack

Dinner

Weekly Meal Planner

For the week of:

Dinner

Breakfast

Monday

M:

Tu:

W:

Th:

Tuesday

F:

Sat:

Sun:

Lunch

Wednesday

M:

Tu:

W:

Th:

Thursday

F:

Sat:

Sun:

Snacks

Friday

M:

Tu:

 

W:

Saturday

Th:

 

F:

 

Sunday

Sat:

Sun:

 

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