Online check in form
Coach Gio
Name
First Name
Last Name
Email
example@example.com
Last week’s weight
Current weight
Have you followed the plan this week?
*
Yes
No
Mostly
If not, what deviations occurred?
How did workouts feel this week?
Did you complete all workouts and cardio?
Yes
No
Partially
If answered no or partially, explain.
How is your strength (1–5)
Bad
1
2
3
4
Excellent
5
1 is Bad, 5 is Excellent
Sleep quality (1–5)
Bad
1
2
3
4
Excellent
5
1 is Bad, 5 is Excellent
Stress level (1–5)
Bad
1
2
3
4
Excellent
5
1 is Bad, 5 is Excellent
How has your daily energy been? (1–5)
Bad
1
2
3
4
Excellent
5
1 is Bad, 5 is Excellent
How has your digestion been? (1–5)
Best
1
2
3
4
Worst
5
1 is Best, 5 is Worst
Recovery / soreness (1-5)
Very Sore
1
2
3
4
Fully Recovered
5
1 is Very Sore, 5 is Fully Recovered
If answered any with a 3 or less, please explain.
Health updates
Any injuries or pain?
Yes
No
If answered yes, please explain.
Are your current goals still the same?
Yes
No
Any new goals?
Do you have any questions for me?
Text check in photos to me at (754) 298-8183
Submit Check-In
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