Elimination Diet progress form PersonalName *Date * HealthWhat overall positive changes have you seen while on the Elimination diet? *What has been the most difficult part about the Elimination diet? *What recommendations did you find helpful for the Elimination diet? *What goals are you meeting while on the Elimination diet? *Changes in weight? *How is your sleep? *How has your mood changed? *How has your sleep been? *Not good - I need much moreGood - I could sleep moreGreat - I feel like i'm sleeping enough and wake restedHow is your digestion? Are you experiencing any bloat, gas, diarrhea or constapation? What is your healthy outlook? *About the sameBetter than before, making progressWay better than before, excited to learn moreWhat are you doing for exercise? * FoodHow have your food choices been? have you been sticking to the plan as well as you would like?Are you cooking more? *YesNoWhat foods do you crave? *What have you been eating for breakfast? *What do you eat for lunch? *What do you eat for Dinner? *What are you top 5 favorite recipes while on the Elimination diet? What do you snack on and drink? *How many servings of veggies are you eating everyday? *Servings = about one cup2-3 servings4-6 servings6 plus servingsWhat foods do you suspect you have an intolerance to? * ProtocolAre you following the recommendation for daily protocol? yesnosort ofAre you taking your supplements and detox drink mix as recommended? yesnosort ofWhat are you doing for self care? *Hint: they are on the "Top 10 Tips to stop detox symptoms" sheet.How much water are you drinking? 32oz90oz100+ ozWhat kind of symptoms are you experiencing? *Note- symptoms are completely normal.On a scale of 1-10 what has been your dedication level to follow recommendations given? *Any questions about foods or ideas introduced so far? *What would be Extra helpful for you during the Elimination diet? *Anything else you would like to share? *Email *Checkbox Option 1Option 2Option 3Are you completing the food journal and symptom sheet on a daily basis? *yesnokinda VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: There was an issue loading your exit LeadBox™. Please check plugin settings.