My Weight Loss Goal Setting Worksheet

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MY WEIGHT LOSS GOAL
SETTING WORKSHEET
Date:
_______________
My Weight:
_______________
My BMI:
_______________
My Waist Size:
_______________
MY LONG TERM WEIGHT LOSS GOAL:
For my height, a weight of ________ will put me within a healthy BMI range. I need to lose
__________ pounds.
MY STARTING GOAL:
In order to lose 10% of my weight, I will need to lose _____ pounds.
MY MAINTENANCE NUMBER:
My weight ________ pounds X 12 = ________ calories/day.
MY CALORIE GOAL:
________ Weight Maintenance Number
________ Subtract 500 or 1,000 calories
________ Equals Calories Per Day
17DDBL OG. C OM
Excerpt from The Eating Well Diet by Dr. Jean Harvey-Berino and the Editors of Eating Well (The Countryman Press, 2007)

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