Scribd
Upload
7 views

New Check in Form Updated

The document is a weekly check-in form for a client filled out by the client. It collects information on the client's weight, nutrition, exercise, sleep, stress levels, and any other aspects of physical or mental well-being. The form asks the client to rate or provide details on these topics from the past week. It also asks if the client needs any changes to their program or has any other comments or needs for assistance from their coach.

Uploaded by

Sammy Roberts
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
7 views

New Check in Form Updated

The document is a weekly check-in form for a client filled out by the client. It collects information on the client's weight, nutrition, exercise, sleep, stress levels, and any other aspects of physical or mental well-being. The form asks the client to rate or provide details on these topics from the past week. It also asks if the client needs any changes to their program or has any other comments or needs for assistance from their coach.

Uploaded by

Sammy Roberts
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

Weekly Check in Form:

Please fill this form out each week and answer all the questions with complete
honesty.
Please send your check in photos on the app to me on the same day each week
(as well as all measurements), my check in days for clients run on a Wednesday
or Sunday.
Please wear the same clothing each week, for example shorts and a top,
underwear, or very tight clothing. (This is so I can see your physique change
and so I can collect accurate data)

Please ensure not to eat or drink anything before weighing yourself, taking the
photos and taking your measurements, this will ensure we are getting accurate
data each week.
We will be exploring your self-worth and stress levels in this check in, this is a
safe space for you to inform me of any problems you deal with in the week, it
does not matter how big or small the problem may be, I am here to help you in
all aspects of life.

Check In Form:

You can send this form back to me via email or you can WhatsApp me if it is easier for you.

1) Client name: Samantha Roberts


2) Age: 21

Weight this week in kg: 64.0kg


Weight last week in kg: 64.7kg

1) Are there any foods you would like to change on your


programme or any foods you are craving but are worried about
eating?
Still been struggling with eating but slowly eating again

2) Have you eaten any food that you have not tracked correctly? (If
applicable) Or have you overeaten on certain foods this week?
How are you feeling this week towards nutrition? Do you feel
restricted at all?
Didn’t eat much last week

3) Has your daily step goal been met?


Yes
4) Have you enjoyed training; are there any exercises you are not
getting on very well with/ do not like? Do you feel like you are
progressing?
Yep still enjoying it

5) Have you found yourself having any negative thoughts, if so,


what do you think triggered this?
No starting to feel really positive

6) How has your energy levels been this week?


Okay but not great because I have a cold but I’m feeling better
today

7) Is your menstrual cycle regular? When are you next due on?
It is regular because I’m in menstrual medication

8) How has your sleep been? Have you been able to get 7+ hours a
night?
Okay just waking up at odd hours of the night

9) Have you drunk any alcohol this week? Do you have any nights
out or meals out planned?
No
10) Can you name 2 things you are proud of this week?
going to the gym regularly and losing weight this week

11) Can you name something you are proud of/happy about
this week? (Not fitness related)

12) Have you had any family or friends say any


triggering/negative comments to you this week?
Nope

13) How are your stress levels? Have you had anything
negative going on in your life this week?
They’re still not great

14) Is there anything else you would like to add? Is there


anything I can do to help you more?
Not that I can think of

You might also like