Lionheartfitnesspt – Weekly Check in Form

Name* This field is required.

First Name

Last Name

example@example.com

How would you rate your workout adherence this week* This field is required.

Very Poor

Excellent

What went well this week? * This field is required.Examples: more energy, clearer skin, clothes fitting better, friends/family/people comments, better sleep, attitude, mental clarity, happiness, focus, reduced anxiety or depression, etc

Explain why you think this is* This field is required.

How Many PB's did we hit this week?* This field is required.

Explain why you think this is* This field is required.

Did you hit your nutrition goals this week?* This field is required.

Yes - On Track

Mostly - A few slip- ups

No - Struggled this week

How many workouts did you complete?* This field is required.

How’s your energy and mood been?* This field is required.

Great

Okay

Low

Digestion, bowel movements & overall health in the past week?* This field is required.

Are you taking supplements?* This field is required.

Yes

Other

What Habits did you develop on this week?* This field is required.

How was your food Preparation this week?* This field is required.

Sleep Quality* This field is required.How well did you sleep this week

Amount of Hours and any other comments?* This field is required.

Level of Muscle Soreness* This field is required.

Any other notes, comments, questions or concerns?* This field is required.

Motivational levels this week?* This field is required.

Comments* This field is required.

Stress Levels this Week* This field is required.

Explain why you think this?* This field is required.

Is there anything you’d like help with this week? * This field is required.i.e. Where do you feel you have been deficient and would like to improve?

What’s one small win or goal you’re aiming for this week? * This field is required.Pick a habit or something to focus on this week.

What would you like more coaching on this week * This field is required.Remember: You cannot hurt my feelings, the more honest you are the more I can help 🙏🏻 There's no right or wrong, the more feedback the more helpful 😁