FEEDBACK

Thanks so much for committing to the Program!

Please complete the form below at the end of each week so we can both see how you are getting on.

Name

First Name

Last Name

Date

YYYY

WEEK

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

What improvements have you noticed or measured this week?

Are you happy with your results so far?

Has anything been a struggle or challenge for you?

What could you do differently next week to mitigate the challenges?

Anything else you would like to mention.

Consent

Consent to use your name with feedback.

Full name

First name only

Anonymous