Get Healthy Challenge
Reporting Form

Team Name: 
Team Captain: 
Number of Team Members: 

We are striving for:
Reduction of Waist circumference
Increase in Physical Activity
Both

Goal #1: Reduction of Waist Circumference
Waist Circumference
  Team Member 1 Member 2 Member 3 Member 4 Member 5 Team Total
Start Week 1
Finish Week 8

Total Team Pounds Lost (if applicable):   

Goal #2: Increase in Physical Activity    Please record for all team members

Number of
Steps / Week
Team Member 1
Member 2
Member 3
Member 4
Member 5
Team Total
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Team Grand Total Steps: