Another week down. I need you to be totally honest when filling out this form. We’ll use this information to figure out the best strategy going forward, or to adjust your calories.

Name

First Name

Last Name

What was your biggest WIN this week?

How much do you weight TODAY?

How many days did you stay within your total calories?

What were your biggest obstacles on days that you went over your calories?

How many days did you hit your protein total?

What did you eat for dinner last night? (Saturday night) Be honest. I know Saturday is normally a "free" meal.

Tell me, in general, how you're feeling right now about your nutrition this past week?

Tell me what you need to make this week even better?

What do you need the most help with this week?

What was your stress level this week (0-none, 10-intense)

What grade would you give yourself for this week?

What was your hunger level this week? 0-none, 10-starving

If you haven't already scheduled your sessions for this week let us know when you'd like to come in:

Take the First Step On Your Fitness Journey