Weekly Check-in Form
Name
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First Name
Last 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".
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I fell off track
1
2
3
4
5
6
7
8
9
I was at least 80% consistent
10
1 is I fell off track, 10 is 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".
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I didn't do any exercise
1
2
3
4
5
6
7
8
9
I was at least 80% consistent
10
1 is I didn't do any exercise, 10 is I was at least 80% consistent
What was your biggest WIN from the past week?
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What was your biggest CHALLENGE from the the past week?
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What challenges do you have coming up in the week ahead that will make staying on track with our nutrition and exercise goals difficult?
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How would you rate your hunger from '1' to '10' with '1' being "Not At All Hungry" to '10' being "Unbearably Hungry".
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Not at all Hungry
1
2
3
4
5
6
7
8
9
Unbearably Hungry
10
1 is Not at all Hungry, 10 is Unbearably Hungry
How many meals did you eat out in the past week?
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What's ONE thing you're going to focus on THIS week to stay on track with your goals?
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Is there anything unusual affecting your weight right now that you'd like for me to be aware of?
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(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?
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What else can I do for you that can help you get better results or to improve your coaching experience
Submit
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