Jamie Iannucci Weekly Check-In Form Submissions

CLIENT WEEKLY CHECK-IN FORM SUBMISSION

jamieiannucci.com

Name*

First NameLast Name

Date*

MonthDayYear

Email*

Current bodyweight (upon wake up, before any food, supplements, or fluid intake, in minimal or no clothing):*

Last week's bodyweight at check-in:*

Change in bodyweight since last week's check-in? (+ or - ):*

Which phase of your menstrual cycle are you currently in?(e.g., menstrual, follicular, ovulatory, luteal)?*

How do you feel this phase is affecting your energy levels, body image, mindset, and attitude towards your fitness journey?*

Meal plan or Macro Tracking*

Did you miss any meals, food or not hit macros? If so please explain. *

Did you eat anything OFF plan since last check in? For those who macro track, did you eat anything untracked?*

I ate 100% to planI ate off plan (please explain below)I didn’t track some food.

If you ate off plan or didn’t track some food, what did you eat? (NOT why)*

Reminder that off-plan meals should be after check in day. If they are before, we cannot properly gauge progress and this could potentially put you a week behind.

Meal change request (if applicable)

Average amount of daily water intake:*

Average hours of sleep per night*

General sleep quality (rank 1 to 10; with 10 being deep and 1 being poor)*

Please share any factors that may have impacted your sleep patterns

Status of stress, on a scale of 1-10, with 10 being debilitatingly stressed, and 1 being no stress at all.*

Stress Management: Describe your stress levels over the past week and how you managed them. Did you utilize any stress-relief techniques or strategies?*

Status of energy, on a scale of 1-10, with 1 being the lowest, throughout the day.*

Status of focus, on a scale of 1-10, with 1 being the lowest, throughout the day.*

Non-Scale Victories: Reflect on any non-scale victories or positive changes you've noticed in your body or mindset this week.*

This could include improved energy levels, increased strength, or enhanced mood.

Tell me what you think you can do better next week:*

Please list any and all supplements you are currently taking.

Vitamins, pre workouts, protein powder, BCAAs/EAAs, cortisol or sleep assistance, estrogen or testosterone support, etc.

Please list any and all medication you’re currently taking.

Perceived level of weight training execution (rank 1 to 10; with 10 being beastmode and 1 being went through the motions):*

Status of strength:*

Keep in mind that this may fluctuate depending on various factors such as your menstrual cycle phase, sleep quality, and stress levels. It's crucial to recognize the interconnectedness of these factors and how they can influence your strength progress.

Status of muscle pump:*

A "muscle pump" is the temporary increase in muscle size and fullness during or after weightlifting. It happens because of increased blood flow to the muscles, making them appear larger and feel tighter.

Status of aerobic performance:*

Did you miss any workouts or cardio? If yes, please describe.

Did you complete any extra strength or cardio exercise? If yes, please describe.

File Upload*

Please upload this weeks progress photos, front, side, and back. Please be sure to include your face, down to your feet. (A plain background is preferred. Ensure that you are facing the main source of light and the main source of light is behind the camera.)

Anything else Jamie should know to help assess your progress?

Is there anything Jamie can do for you to coach you better in the coming week?

Shoulders Right Bicep Chest Left Bicep Bottom Rib Navel Hips Glutes Right Thigh Left Thigh Right Calf Left Calf

Weight

NUTRITION

LIFESTYLE

SUPPLEMETS

PERFORMANCE

Measurements (every 2nd week only)