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Weekly Check In Forms
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* Indicates required question
Email
*
Your email
What's your First and Last name
*
Your answer
Is there anything you want to bring up or discuss with me right away?
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Your answer
On the scale 1-10 grade your level of compliance with your meal plan last week
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1
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5
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9
10
Did you miss any works last week?
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Yes
No
Tell me Something that you are PROUD of that you did this week?
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Your answer
What is something you want to improve this week?
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Your answer
On the scale 1-10 what is your stress levels this week?
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1
2
3
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5
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9
10
How much water did you drink per day?
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Your answer
How many hours of sleep per night did you get?
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Your answer
What was your Previous weight and waist measurements? (separate by comma)
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Your answer
What is your CURRENT weight and waist measurements are? (separate by comma)
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Your answer
What was your goal last week? Did you hit it?
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Your answer
What is your goal this week? What's your game plan to ensure that you hit it?
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Your answer
Is there anything I can do as your coach to serve you better?
*
Your answer
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