ID: - Name: City/State:

Which Health Pack Are You On?

Which Challenge Are You Entering?

I joined the Challenge because...

My 30 day goal is...

To achieve my goal I will...

(optional)

Bicep:

Waist:

Cholesterol:

Blood Pressure:

Chest:

Thigh:

B.M.I.:Hips:

Starting My NeoLife:

Written Accountability:

My Story

Vitality Pack Breakfast Pack Weight Loss Pack Sport Pack

FitnessWeight Loss

Current Weight:

For more details, go to neolifeblog.com/challenge or email challenge@neolifeclub.com. Winners must be willing to share photo and written results to win. NeoLife Members and Promoters are eligible. Must be at least 18 years of age to enter. Incentives are subject to change at the discretion of company. © 2017. NeoLife International. All rights reserved. Printed in USA. 01/17