Keeping on Track
Please note that all fields followed by an asterisk must be filled in.
First Name*
First Name*
Last Name*
Last Name*
E-mail Address*
E-mail Address*
This is what I have accomplished since our last discussion:
I didn't manage to complete the following bit intended to do:
The following challenges and barriers confront me right now:
The following thoughts and emotions have been prominent in regard to my health and lifestyle compliance since our last discussion(anxious, angry, sad, happy):
Can you identify what is causing you to feel these thoughts and emotions:
What solutions can you think of will possibly alleviate any negative feelings or emotions that stop you achieving good health and well being:
Comments:
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