Weekly Check-in Form

Name*

First NameLast Name

Overall, how would you rate your level of consistency with your NUTRITION GOALS in the past 7-days on a scale from '1' to '10' with '1' being "I completely fell off track" to '10' being "I was at least 80% consistent". *

Overall, how would you rate your level of consistency with your CARDIO & TRAINING GOALS in the past 7-days on a scale from '1' to '10' with '1' being "I didn't do any cardio or training in the past week" to '10' being "I was at least 80% consistent with my cardio & training goals". *

What was your biggest WIN from the past week? *

What was your biggest CHALLENGE from the the past week? *

What challenges do you have coming up in the week ahead that will make staying on track with our nutrition and exercise goals difficult? *

How would you rate your hunger from '1' to '10' with '1' being "Not At All Hungry" to '10' being "Unbearably Hungry". *

How many meals did you eat out in the past week? *

What's ONE thing you're going to focus on THIS week to stay on track with your goals? *

Is there anything unusual affecting your weight right now that you'd like for me to be aware of? *

(Factors that may affect your 'weight' include the following: Irregular bowel patterns, weighing in earlier than normal, doing an intense training session the day before, consuming food(s) high in carbohydrate and/or sodium, being unusually stressed, not getting at least 7-hours of sleep the night before or beginning a new medication prescribed by your doctor).

What questions can I answer for you this week and is there anything else you'd like to share with me in this week's check-in? *

What else can I do for you that can help you get better results or to improve your coaching experience