Weekly Check-In
1:1 Coaching
Name
First Name
Last Name
Week Number (e.g. Week 3 of 12):
Date
-
Month
-
Day
Year
Date
Body Measurements: Weight
Body Measurements: Waist
How would you rate your energy levels this week? (1–10)
How was your sleep (hours/night + quality)? Is that normal for you?
How was your stress level? Any major events or triggers?
Did you follow your nutrition plan this week?
100%
Mostly
Ocassionally
Not at all
What meals/snacks went really well this week?
Were there any meals/times you struggled? If yes, describe what happened.
Any cravings, emotional eating, or binge episodes?
Yes
No
If so, please explain
How many workouts did you complete this week?
Rate your workout effort this week (1–10):
Any workouts you missed or had to modify? Why?
What are you most proud of this week?
What challenged you the most?
What’s one thing you want to improve or focus on next week?
What can I do to better support you in reaching your goals?
Anything you need help with, want to change, questions, or feedback for your coach?
All information shared in this Weekly Check-In Form is strictly confidential and will only be used by your coach for the purpose of supporting your nutrition, fitness, and overall well-being. Your personal details, progress data, and responses will never be shared, sold, or disclosed to any third party without your written consent, unless legally required. We are committed to maintaining your privacy and trust. All records are stored securely and access is limited to authorized coaching staff only. By submitting this form, you acknowledge that the information you provide is accurate to the best of your knowledge and that you understand the confidential nature of this check-in process.
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