Attendance/Data Log
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ATTENDANCE/DATA LOG
Community Partner: ______
NAME/Veterans only Veteran Height WEE WEEK WEEK WEEK WEEK WEEK WEEK WEEK last 4 of SS# (stated) K #2 #3 #4 #5 #6 #7 #8 #1 Date Yes Weight
No Waist
Yes Weight
No Waist
Yes Weight
No Waist
Yes Weight
No Waist
Yes Weight
No Waist
Instructions: We need a beginning weight AND Waist Circumference (Week # 1) and ending weight and Waist Circumference(Week # 8) for each participant. It is optional to weigh-in and/or measure weekly. You may either place a for each week participant attends a session or you can put their weight in that space. Please indicate whether participant is a veteran. For veterans, we need the last 4 of their Social Security #. ATTENDANCE/DATA LOG
Community Partner: ______
NAME/Veterans only last 4 of Veteran Height WEEK WEEK WEEK WEEK WEEK WEEK WEEK WEEK SS# (stated) #1 #2 #3 #4 #5 #6 #7 #8
Date
Yes Weight
No Waist
Yes Weight
No Waist
Yes Weight
No Waist
Yes Weight
No Waist
Yes Weight
No Waist
Instructions: We need a beginning weight AND Waist Circumference (Week # 1) and ending weight and Waist Circumference(Week # 8) for each participant. It is optional to weigh-in and/or measure weekly. You may either place a for each week participant attends a session or you can put their weight in that space. Please indicate whether participant is a veteran. For veterans, we need the last 4 of their Social Security #.