Week Weight (Measurements optional) Lost Gained Maintained Notes (e.g., nutrition and physical activity success stories) 1 2/16 2 2/23 3 3/2 4 3/9 5 3/16 6 3/23 (Final Weigh in) Weight Change (check one) MAINTAIN, NO GAIN W E E K L Y P E R S O N A L T R A C K E R Name:_________________ STARTING WEIGHT:________________(2/9)