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Check- In Form
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* Indicates required question
Name
*
Your answer
Date (of check in)
*
MM
/
DD
/
YYYY
Current Weight
*
Your answer
Where is your pain level at this week
*
1 - none
2 mild- on and off
3
4
5- mild but can feel it everyday day
6
7
8- can feel it a lot
9
10- excruciating
Required
If 3 and above, can you give more details
Your answer
How well do you feel your training adhearance was for the week
*
1- Didnt do it at all
2
3
4
5 - I did EVERY session asked of me
Required
How has your sleep been this past week?
*
1- Terrible, not a wink !
2
3
4
5- Slept 7-8 hours EVERY night, undisturbed
Required
How are you CURRENT STRESS LEVELS ?
*
1 not at all
2 slightly
3 yes
4 a lot
5 overwhelmed
Required
How have your ENERGY LEVELS been this past week?
*
1 None existent
2
3
4
5 Felt awesome !
Required
How has your appetite been?
*
1 None existent
2
3
4
5 Felt full and satisfied each day
Required
What 3 things do you feel went well this week ? (this can be ANYTHING- life, work, training, diet, I want to know the positives :-) ( PLEASE WRITE AT LEAST 3)
*
Your answer
What TWO things do you feel didn't go so well?
*
Your answer
What do you feel you have struggled with the most?
*
Your answer
What is ONE thing you want to improve on in the UPCOMING week?
*
Your answer
Is there anything else that you feel you currently need and want from me?
*
Your answer
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