This document summarizes a follow up visit with a patient 3 months after initially establishing lifestyle goals. It assesses the patient's progress across 3 scenarios in terms of weight, blood pressure, lab results and compliance with goals. In scenario 1 the patient shows little improvement and worsening lab values. In scenario 2 the patient shows modest improvements in weight and labs from making some dietary changes. In scenario 3 the patient demonstrates the most progress towards goals through regular exercise, improved diet and social support from friends.