Name *
Name
FOOD selections: Please eliminate and replace
Top 5 unhealthy foods (Please select 5 unhealthy foods to eliminate)
Top 5 healthy Food alternatives: (Please select 5corresponding healthy alternatives to your 5 eliminated unhealthy foods)
ACTIVITY selections: 30 Minutes physically active
Please select 6-7 days the you’ll keep active
Selection *
BEVERAGE selections: Please eliminate and replace
Top 5 unhealthy beverages (Please select 5 unhealthy beverages to eliminate)
Top 5 healthy beverages (Please select 5 corresponding healthy alternatives to your 5 eliminated Beverages)