JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Who is checking in?
*
Your answer
The responses submitted pertain to the following range of dates (for example June 1-7):
*
Your answer
What would you consider to be your biggest WIN this week regarding your coaching program? Consider ALL areas of your life?
Your answer
How well do you believe you adhered to your coaching recommendations this week?
*
Needs Work
1
2
3
4
5
6
7
8
9
10
Perfection
What is one thing that caused you to choose that score.
*
Your answer
What is one thing you can do to make that score higher?
*
Your answer
Were your food logs accurate (if applicable)
*
Terrible, I missed most or all days
1
2
3
4
5
6
7
8
9
10
100% accurate and completed daily
How many average hours of sleep did you get this week?
Your answer
How would you rate your sleep quality?
Poor
1
2
3
4
5
6
7
8
9
10
Excellent!
Clear selection
Hunger Response
*
Is your hunger response higher or lower than average this week?
Satisfied - little to no hunger
1
2
3
4
5
I felt like I was starving!
Recovery
Poor recovery from workouts
1
2
3
4
5
100% recovered, felt strong all week
Clear selection
Energy and Mood
Lacked energy, poor mood, shit workouts
1
2
3
4
5
Felt great, lots of energy, crushed my workouts
Clear selection
Digestion
Poor digestion, bloated, irregular bowel movements
1
2
3
4
5
No digestive issues
Clear selection
Stress
Low
1
2
3
4
5
High
Clear selection
Body Temperature
Colder than average
1
2
3
4
5
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..
Your answer
Can you make our scheduled weekly call?
Yes
No
Clear selection
What other questions or topics would you like to discuss during our weekly call?
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Live Fit Personal Training.
Report Abuse
Forms