Personal Info Report

Belly Button Waist *

PERSONAL INFORMATION REPORT

WEEKLY INFORMATION REPORT

PLEASE MAKE SURE YOU FILL IN ALL INFORMATION

TO AVOID AN ERROR MESSAGE

Email Address *

Starting Weight *

Did you drink 1/2 of your body weight in water? *

Yes

First and Last Name *

Non Scale Victories *

Browse...Verify it's your scale pic before submitting *

Did you eat off plan

Yes

I USE TO BE U

Did you make your weekly quota? Yes/No *

Cumulative Weight Gain/Loss +/- *

Starting Waist Measurement *

Cell Phone *

How much do you weigh today? *

Belly Button Waist *

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Technical Difficulties
If Submit button is greyed out change your browser or go back and double check all required fields are filled in. Once you hit submit please send me an email with your name and I submitted. If I need anything from you or if i didn't receive it I will contact you. Working on getting new forms soon. Thank You for your patience

Coach Trina

DISCLAIMER: Before starting any diet or exercise routine see your physician first. By using information or content from this site, you recognize and agree that we have made no implications, warranties, promises, suggestions, projections, representations or guarantees whatsoever to you about your weight loss, with respect to your purchase of the I use to be u weight loss method and that we have not authorized any such promise, or representation by others. Any weight loss statements, or any weight loss examples, are only my personal results. There is no assurance you will do as well as stated in any examples. If you rely upon any figures provided, you must accept the entire risk of not doing as well as my personal successes. There is no assurance that any prior successes be used, as an indication of your future success or results from any of the information, content, or strategies. And all claims or representations as to weight loss are not to be considered as “average weight loss”.