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TPM Workout Check-In
Hi there, please fill out this form and submit your results for each workout!
13
Questions
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1
Client Name
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2
Pack Code
This is the package phase you are working on - e.g., Shoulders, Whole Body
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MO-SH-01 - Shoulder Phase 1
RT-KNEE-01 - Knee Phase 1
SM-FB-01 - Full Body Phase 1
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Please Select
MO-SH-01 - Shoulder Phase 1
RT-KNEE-01 - Knee Phase 1
SM-FB-01 - Full Body Phase 1
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3
Date
Approximate is fine.
-
Date
Year
Month
Day
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4
Sessions Completed
*
This field is required.
Independent Sessions Completed
0/3
1/3
2/3
3/3
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5
Videos Submitted
2 videos
1 video
0 (not yet)
Not required this week
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6
Pain / Discomfort
0 = none / 10 = severe
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7
Movement Quality vs Last Week
Improved
Same
Worse
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8
Confidence 1- 5
1 = hesitant
2
3
4
5 = strong & controlled
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9
Any questions about the workout or comments?
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Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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10
What felt better this week?
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11
What felt tight / irritated?
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12
Any sharp pain / new symptoms / "something feels wrong"?
*
This field is required.
YES
NO
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13
Quick note (what happened?)
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