Client Check in Form
Name
Last weeks weight
Morning weight
What are the main wins of the week?
How is your mood?
How are your energy levels?
How was your sleep?
Average hours of sleep per night?
Were you able to adhere to the nutritional plan fully?
Is there anything you feel needs to be added to your nutritional plan as a substitute for something else?
How were your workouts?
How is your digestion?
Any bloating after any meals or certain foods?
If I have prescribed you cardio, which days did you do it for and for how long?
How was your recovery? Did it take you more than 3 days for muscle soreness to go away after a workout?
List your daily steps for the week
How would you rate your stress levels?
Very Low
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Extremely High
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1 is Very Low, 10 is Extremely High
How would you rate your hunger?
Very Low
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Extremely High
10
1 is Very Low, 10 is Extremely High
How would you rate your digestion?
Very Poor
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Excellent
10
1 is Very Poor, 10 is Excellent
How would you rate your water intake?
Very Poor
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Excellent
10
1 is Very Poor, 10 is Excellent
How would you rate your food enjoyment?
Very Poor
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Excellent
10
1 is Very Poor, 10 is Excellent
How would you rate your training workouts enjoyment?
Very Poor
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Excellent
10
1 is Very Poor, 10 is Excellent
How would you rate your cardio sessions enjoyment?
Very Poor
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Excellent
10
1 is Very Poor, 10 is Excellent
Name something you can be better with for next week.
Any questions for me or anything I can do to further help your plan?
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