Online Check-In

More Information

    Client Information

    First Name
    Last Name

    Body Composition

    What was your weight this morning?
    Are you a Skype/out-of-state client? NoYes



    Meals and Intake

    On a scale of 1-10 rate your adherence to food/macros?
    Water Intake - How many ounces daily on average?
    What describes your hunger best?
    How many meals did you miss?
    When was your last cheat meal?
    Did you have restaurant meals outside your "free meal"? NoYes
    Tell us about your meals (when, where, what)
    Do you have any foods that you are craving or would like added to your meal plan?
    Tell us about the foods. We will see if they will fit in the macros!

    Activity, Mood, Sleep

    How is your energy?
    Any changes in your mood or attitude? NoYes
    Please explain the changes
    Workouts - How many times?
    Are you recovering from them efficiently? NoYes
    Sleep - Average hours per night
    Stress - Rate from 1 to 10 (1 being no stress)
    Do you have any new life stressors? NoYes
    Describe the new stressors

    Additional Information

    Did you have any wins this week? NoYes
    Tell us about your wins.
    Do you have any additional bio feedback or input that will assist us in putting together your plan?