Weigh-in Form

Anatomical measurements

Note: Use a dressmakers tape measure, in centimetres, measure the positions marked in red. The tape measure should go around the complete circumference of each area as shown.

*Measure the buttocks at the point where the bottom sticks out the furthest from the body.

Bowel Motions

Stress levels this week

Sachets per day

Water per day

Coffee per day

Tea per day

Alcohol per week

Exercise session per week

Sleep hours per night, on average

Average ketosis for the week

Have you taken your supplements this week as prescribed?

How many days did you take your supplements this week?