Accountability & Goal Form

Accountability & Goal Form

Bi-Weekly check ins
Vitality Empower

Accountability & Goal Check In Form
Bi Weekly Check In

This check in is used to support consistency, track progress, and guide coaching adjustments. Your responses help identify what is working, what may need refinement, and how to better support you moving forward.

Please answer honestly. There are no right or wrong answers.
SECTION 1: CLIENT INFORMATION
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
SECTION 2: PROGRESS TRACKING

Weight tracking is optional and used only as one data point. If you choose to track weight, please weigh under similar conditions each check in.
Starting Weight
Your weight when you began this program
Date

MonthDayYear
Date
Previous Check in Weight
Optional
Current weight
Optional
SECTION 3: ACCOUNTABILITY & CONSISTENCY
Did you follow your planned training sessions during this period?

YesNO
Did you complete your planned movement or conditioning work?

YesNO
Did you maintain hydration habits that supported your recovery?

YesNO
Did anything limit your consistency this during period?
(Optional open response)
SECTION 4: GOALS & FEEDBACK
What went well during this check in period?
What felt challenging or needs adjustment?
Is there anything you would like additional guidance or support with?
SECTION 5: PROGRESS PHOTOS

Progress photos are used for coaching feedback and tracking only unless you provide separate permission for promotional use.
Upload Front View Photo

Browse Files

Cancelof
Upload Rear View Photo

Browse Files

Cancelof
Upload Right Side View Photo

Browse Files

Cancelof
Upload Left Side View Photo

Browse Files

Cancelof
Photo Use Permission Are you comfortable with your progress photos being used for educational or promotional purposes?

Yes, I give permission2.No, coaching use only
SECTION 6: CLIENT ACKNOWLEDGMENT

By submitting this form, I confirm that the information provided is accurate to the best of my knowledge and is shared for coaching and accountability purposes.
Name

First NameLast Name
Date

MonthDayYear
Date
Coaching Note

Consistency is built over time. Missed sessions or challenges are not failures. They are information that helps refine your program so it better fits your current capacity and lifestyle.

Honest feedback allows coaching decisions to be made safely and effectively.

Thank you for your continued effort and commitment.

John Winkleman

Vitality Empower
Should be Empty: