Fillable Lighten Up Lions goals and motivation

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Lighten Up Lions goals and motivation

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U.S.A. forms for Southeastern Louisiana University

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Name:!____________________________________! ! ! Date:!________________!
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Check!and!complete!at!least!3!goals!that!you!want!to!accomplish!by!the!end!of!this!fitness!program!(6!
weeks):!
____!Lose!!______!lbs!(1lbs!to!2lbs!pe r!we ek !on!a vera ge !is!reaso n ab le!go al) !
____!Lose!________!inches!overall!
____!Decrease!BMI!by_________!%!
____!Increase!your!overall!strength!and!core!strength!(as!measured!by!Microfit)!
____!Change!your!old!eating!habits!to!healthy!eating!habits!
____!Eat!_______!servings!_______!daily/weekly!(ex:!eat!2!servings!of!fruits!daily)!
____!Stop!or!decrease!the!amount!of!eating/drinking!___________!(ex:!sugar,!candy,!chips,!fast!food,!
etc.)!
____!Drink!6!to!8!cups!of!water!a!day!
____!Eat!a!healthy!breakfast!most!days!
____!Gain!confidence!in!yourself!!
!
Have!you!tried!to!start!a!healthy!behavior!in!the!past?!What!worked!and!what!did!not!work?!
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________!
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How!would!you!rank!your!stress!levels?!
1! 2! 3! 4! 5! 6! 7! 8! 9! 10!
(Least!amo un t)! ! ! ! ! ! ! ! ! (Highest!am o un t)!
! !
What!stresses!you!out?!
___________________________________________________________________________________!
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How!motivated!are!you!to!change?!
1! 2! 3! 4! 5! 6! 7! 8! 9! 10!
(Not!motiva ted )!! ! ! ! ! ! ! ! (Very!motiva ted )!
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Why!did!you!circle!that!number?!!
_____________________________________________________________________________________!
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Who!is!your!support!system?!Why?!
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________!
What!is!your!previous!workout!experience?!
_____________________________________________________________________________________
_____________________________________________________________________________________
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What!are!your!workout!interests?!
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________!
What!workout(s)!are!you!not!interested!in?!
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________!
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Describe!your!current!exercise!routine .!!
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Monday!
Tuesday!
Wednesday!
Thursday!
Friday!
Saturday!
Sunday!
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Record!what!you!ate!and!drank!within!the!past!24!hours.!!
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Breakfast!
Lunch!
Dinner!
Snacks!
Drinks!
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Lighten Up Lions goals and motivation

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Completed 7 April 2020

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