Weekly check in
NAME
Daily or Weekly Check in
Please Select
Daily
Weekly
WEEK
BODY WEIGHT
First thing before toilet or food (optional to complete)
TOP 3 THINGS I ACCOMPLISHED THIS WEEK
THIS WEEK I OVERALL FELT
Did you complete all prescribed exercise?
Yes
No
Did you make a nutrition improvement?
Yes
No
Did you Practice bedtime routine?
Yes
No
RIGHT NOW, WHAT DO YOU THINK YOUR BIGGEST OBSTACLE IS?
WHAT ARE YOU COMMITTING TO, THIS WEEK TO OVERCOME THAT OBSTACLE?
Rate this weeks items: Sleep quality
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Rate this weeks items: Energy levels
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Rate this weeks items: Hunger levels
Starving
1
2
3
4
5
6
7
8
9
Full and satisfied
10
1 is Starving, 10 is Full and satisfied
My rating of this week
1
2
3
4
5
Day
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours Slept
Water Intake
Aiming for 2-3L
Mood
Demotivated
1
2
3
4
5
6
7
8
9
Feeling amazing and energetic
10
1 is Demotivated, 10 is Feeling amazing and energetic
Energy Levels
How many metabolically precise meals did you have today?
In first 2-3 weeks you're not expected to understand this, so leave blank if not at this point yet.
How you feel the day went?
What did you do well today?
What could you have improved today?
Submit
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