VIP Client Check-Ins
This is the check-in form. It is due by 12pm Eastern. EVERY FRIDAY so that I can go over things for the next week.
Name*
First Name Last Name
Email*
example@example.com
Phone Number*
Area Code Phone Number
Your 3 Month Goal?*
Your 6 Month Goal?*
Calories and Macros for the previous week? (List your Calories, Fats, Protein & Carbohydrate Grams.)*
Body Composition Goal?*
Lose Body Fat/ Minimize Muscle Loss Gain Muscle / Minimize Body Fat Gain Maintain
Weight Loss or Weight Gain for the week?*
Adherence to Diet?*
1 2 3 4 5 6 7 8 9 10
1 is No Adherence, 10 is Perfect Adherence
Stress Level*
1 2 3 4 5 6 7 8 9 10
1 is None, 10 is Extremely Stressed
On A Period? If applicable
Yes No
How do you feel Physically?*
1 2 3 4 5 6 7 8 9 10
1 is Couldn't Feel Worse, 10 is Amazing!!
How do you feel Emotionally?*
1 2 3 4 5 6 7 8 9 10
1 is Life Is Over, 10 is Nobody Can Stop Me!
Are you struggling with anything?*
What have you noticed is the hardest thing for you this week?*
What have you noticed helps you stay on track?*
Anything else I should know?*
Is there anything I can do better as a coach or my coaches? (Yes, tell me. If you don't then we don't improve.)*
Would you like to do a 1 on 1 video testimonial, explaining your experience/success?*
Yes No Not right now but I'd like to later once I've been in the program longer.
Front Photo - If Due This Week:
Browse Files
Cancelof
Back Photo
Browse Files
Cancelof
Side Photo
Browse Files
Cancelof
Should be Empty:

VIP Client Check-Ins