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Extra Mile Report
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Thank you for your response. ✨
Participant Name
(required)
Coach Name
(required)
Meeting Date (YYYY-MM-DD)
Program
Location
Total Points Earned ( Week 6-16 )
Reward Received (Choose One )
Select one option
$20 Fuel Card
$20 Store Card
$20 EM Loan Payment
Other
None
Radio
Friend or Family
Meeting Details
Did the participant make any progress on their goals set in Extra Mile? If yes, describe
Participant Tasks Set for Next Week
Do you have any questions for your Extra Mile Director? If yes, describe:
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