Weekly Feedback

How has your Week been? :)

* Indicates required field

Name *

First

Last

Email *

On a scale of 1/10, how has your eating been this week? *

Why is that exactly? *

Have you done all you needed to do this week to move closer to your 30 Day goal? *

Yes No

If not, how do you plan on rectifying this so that it doesn't happen again? *

What do you feel needs more attention so that you can make progress more efficiently? *

Submit