5 Month LifeStyle Alignment Program Halfway Review Please write or print clearly. Your First Name * Your Last Name * Your Email * Which overall positive changes in your health and well-being have you noticed since starting your 5-month program? * Which goals have been met? * Are there areas you’d like to focus on, shift, or approach differently in order to meet your goals? * What recommendations have you found helpful and which do you continue to use? * Please list any people in your life you think could also benefit from work like this. * What is your main concern at this time? * Any other thoughts/ comments? Any changes to your energy levels? Your energy (/10) * Sense of calm (/10) * Focus + concentration (/10) * Any changes with your weight? * Any changes with your overall blood sugar levels? * How is your sleep? (/10) * How are your mood + focus? * What progress have you made with your training? * Food information To give a current snap-shot, please list the items you ate and drank yesterday below... Breakfast: * Lunch: * Dinner: * Snacks: * Liquids: * Any questions about concepts or recommendations introduced so far? Any questions about foods or ideas introduced so far?