Progress Form
thru__________
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Progress Form |
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| NAME_______________________ | MONTH_______________ | DATE________ thru__________ |
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| What are you taking? | Product/Products___________________________________________________ | |||
| Improvements | Week_______ | Week_______ | Week_______ | Week______ |
| Dreaming During Sleep | ||||
| Sleep Quality | ||||
| Energy Level | ||||
| Stamina, Endurance | ||||
| Mobility | ||||
| Strength | ||||
| Muscle Tone | ||||
| Fat Loss | ||||
| Weight | ||||
| Motivation | ||||
| Memory | ||||
| Mental Attitude | ||||
| Depression (if applicable) | ||||
| Eyesight | ||||
| Other Senses (hearing, smell, etc.) | ||||
| Hair (condition) | ||||
| Hair (color) | ||||
| Skin (condition) | ||||
| Skin (wrinkles) | ||||
| Nails (condition) | ||||
| Nails (growth) | ||||
| Health Conditions | ||||
| Present Injuries | ||||
| Past Injuries | ||||
| Healing/Recovery | ||||
| Libido (sexual interest) | ||||
| Sex (performance) | ||||
| Digestion/Elimination | ||||
| Urinary System | ||||
| Cold/Flu Frequency | ||||
| Allergies/Allergic Reactions | ||||
| 0= No Change | 1= Slight Improvement | 2= Fair Improvement | 3= Good Improvement | 4= Excellent Improvement |
| Comments |
Please print out several copies of the form above. Each one form covers a four week period. Please fill in the month and week of therapy you are recording and the dates. Please also write in the product/products you are taking. You may also add any areas of improvment that are pertinent to you in the blank rows.
We are always interested in knowing the specifics about how our clients are doing with our products so we will appreciate any client who sends us a copy of their completed progress forms.