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Sunday ______ Week in Review ______

Diet (½ C. servings) Did you meet your goals?


Fruits: 1 2 Veggies: 1 2 3 4 Diet: Yes No
Exercise Exercise: Yes No
Minutes: 15 30 45 60 Drink Water: Yes No
Drink Water Proper Rest: Yes No
Glasses: 1 2 3 4 5 6 Homework: Yes No
Proper Rest
Time to Bed ____:____ Weekly Reflection:
Wake up Time ____:____ __________________________
Homework in on time: Yes No __________________________
Journal Entry:______________ __________________________
__________________________ __________________________
__________________________ __________________________
__________________________
Parent Signature ________________

Sunday ______ Week in Review ______


Diet (½ C. servings) Did you meet your goals?
Fruits: 1 2 Veggies: 1 2 3 4 Diet: Yes No
Exercise Exercise: Yes No
Minutes: 15 30 45 60 Drink Water: Yes No
Drink Water Proper Rest: Yes No
Glasses: 1 2 3 4 5 6 Homework: Yes No
Proper Rest
Time to Bed ____:____ Weekly Reflection:
Wake up Time ____:____ __________________________
Homework in on time: Yes No __________________________
Journal Entry:______________ __________________________
__________________________ __________________________
__________________________ __________________________
__________________________
Parent Signature ________________

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