Fire Elite - Weekly Check In Form

1
Name* This field is required.
First Name
Last Name
2
What is your ultimate goal?* This field is required.(Be specific)
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3
What was your Biggest Personal Highlight since your last Check In?* This field is required.Examples: Better sleep? Happy to be having a health plan? More energy? Performing job better? Increased strength? Limiting excuses and taking action? Clothes fitting better? Friends/family/people commenting? Better attitude? Mental clarity? Happiness? Focus? Reduced anxiety or depression? Anything you feel was a win...
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What non scale victories did you notice in the past week?* This field is required.Examples: better sleep? happy to be having a health plan? more energy? clearer skin? clothes fitting better? friends/family/people comments? better attitude? mental clarity? happiness? focus? reduced anxiety or depression? Anything you feel was a win...
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5
What percent effort did you put into this week?(Please rate yourself honestly. Did you hit your daily steps, water intake, workouts etc?.)
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Overall Effort
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Fitness Effort
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Nutrition Effort
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< 50%
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< 50%
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50%
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< 50%
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50%
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60%
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70%
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80%
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90%
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100%
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What was the number of total workouts performed? (Actually training days)
7
What were your average daily steps? (use activity tracker or phone to find total number steps for week then divide by number of days)
8
Did you submit progress photos?(these are important to show body composition changes, you can submit these to me on WhatsApp)
Yes
No
9
What have you noticed helps you stay on track?* This field is required.(Please be as SPECIFIC and DETAILED as possible)
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What was your biggest obstacle last week?* This field is required.(Please be as SPECIFIC and DETAILED as possible)
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What do you need to overcome your obstacle?* This field is required.(Please be as SPECIFIC and DETAILED as possible)
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1.) How did this past week go for you? 2.) Did you struggle anywhere? 3.) What do you think went well that you’ll continue with next week?* This field is required.(Please be as SPECIFIC and DETAILED as possible)
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What would you like to focus on improving in the upcoming week? * This field is required.(i.e. Where do you feel you have been deficient and would like to improve?)
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14
What is the missing link that needs to change this week so you can make progress on the area you'd like to focus on?* This field is required.(Your detailed input will be used to update your plan for the upcoming week)
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15
What can I do to help you be more successful with your journey? If you were me helping you, what’s one thing you would do differently (if anything)?* This field is required.
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16
Anything else you want to discuss about this past week? Any other notes, comments, questions or concerns pop them here 💕
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