Weekly Check-in

SELECT COACH

LIFESTYLE QUESTIONS

This past week, did you follow a regular work/life schedule this week (Awake during the day, sleep at night)?


How would you rate your average activity level [combined work and non-work] this past week?


Avg Activity Level

1
LOW
mostly
sedentary
3
MODERATE
light activity
i.e. walking
5
HIGH
heavy labor
very active


How would you rate your average stress level this past week?


Stress Level

1
Very Low
3
Average
5
Very High



What your main sources of stress this week?

SLEEP

On average, how many hours did you invest in sleep each night?




How many days did you wake before 6am?




How many days did you stay up past 11pm?














Morning Heart Rate
(Enter "NA" if you didn't track)

DIET/NUTRITION QUESTIONS

What is your current weight?
(Enter 'NA' if not applicable)







How would describe your appetite this past week?


Appetite

1
HUNGRY
Felt hungry
a lot!
3
AVERAGE
No problems
5
FULL
Struggled to
finish meals


How would you rate your Nutrition this past week?


Overall Nutrition

1
POOR
3
AVERAGE
5
EXCELLENT



How much ALCOHOL did you consume this past week?



On average, how much CAFFEINE/day did you consume this past week?
(6oz Coffee = 85mg | 8.4oz Redbull = 125mg | 16oz Bang/Reign Energy Drink = 300mg)



On average, how much WATER/day did you consume this past week?
(1 gal = 128oz | 1/2 gal = 64oz | 1 pint = 16oz | 1 cup = 8oz)

WORKOUTS/STEPS/CARDIO







How enjoyable do you find your current program/workouts?


Workout Enjoyability

1
HATE IT!
3
NEUTRAL
5
LOVE IT!


How would you rate the difficulty of the workouts you completed?


Workout Difficulty

1
TOO EASY
plenty left
3
AVERAGE
just right
5
HARD
struggled


This past week, how would you rate your average motivation/energy levels during your workouts?


Motivation/Energy Levels

1
Very Low
3
Average
5
Very High











MEASUREMENTS




How to measure your GAINZ!

BIOMARKERS

    Examples:
  • Acid Reflux/Heartburn
  • Halitosis/Bad Breath
  • Upset Stomach/Diarrhea
  • Urgent Bowel Movement [post meal]
  • Abdominal Bloating, Pain, Cramps, or Gas
  • Hungry Shortly After Meals
  • Constipation/Hard Bowel Movements
  • Vomiting/Nausea



  • Non-specific Soreness [i.e. Joint Pain, Non-muscle Soreness, Etc.]?
  • Excessive local muscle soreness (3+ days)?
  • Hard time focusing during the day?
  • Loss of appetite?
  • Irritability/Mood Swings?



  • Loss of 'pump' during an exercise?
  • Performance decline later in the workouts?
  • Weight feeling heavier than it should?



GOALS & FEEDBACK




What did you struggle with the most this past week?


What can you do better/need coaching on?


Additional comments or questions?

ALMOST DONE...!
Verify you are a human and hit the SUBMIT button. Thanks for Checking in!
Please Verify You Are Human :-)

Thank you!

  Secure Checkout