Weekly Nutrition Coaching Check-In Form
Thank you for taking 5-10 minutes of your time to fill this check-in form out prior to our weekly phone call.
The information collected to ensure all professional recommendations you receive from me will apply to your specific circumstances and help determine which adjustments may need to be made to your Coaching Plan.
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Who is checking in? *
The responses submitted pertain to the following range of dates (for example June 1-7): *
What would you consider to be your biggest WIN this week regarding your coaching program? Consider ALL areas of your life?
How well do you believe you adhered to your coaching recommendations this week? *
Needs Work
What is one thing that caused you to choose that score. *
What is one thing you can do to make that score higher? *
Were your food logs accurate (if applicable) *
Terrible, I missed most or all days
100% accurate and completed daily
How many average hours of sleep did you get this week?
How would you rate your sleep quality?
Clear selection
Hunger Response *
Is your hunger response higher or lower than average this week?
Satisfied - little to no hunger
I felt like I was starving!
Poor recovery from workouts
100% recovered, felt strong all week
Clear selection
Energy and Mood
Lacked energy, poor mood, shit workouts
Felt great, lots of energy, crushed my workouts
Clear selection
Poor digestion, bloated, irregular bowel movements
No digestive issues
Clear selection
Clear selection
Body Temperature
Colder than average
Warmer than average
Clear selection
What obstacles do you foresee yourself possibly encountering next week that may require specific adjustments to your plan? E.g. date night, travel, celebration, etc..
Can you make our scheduled weekly call?
Clear selection
What other questions or topics would you like to discuss during our weekly call?
Clear form
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