Client Check-In Form
Name
Lowest Weight Since Last Check-In
Highest Weight Since Last Check-In
What Range Would You Say Your Macro Compliance Was Within?
Poor
Fair
Good
Excellent
How Was Your Fiber Intake This Week?
Poor
Fair
Good
Excellent
What Was Your Average Water Intake Each Day?
0-32 OZ
32-64 OZ
64-96 OZ
96-128 OZ
How Was Your Nightly Sleep Average?
1-4 Hours
4-6 Hours
6-8 Hours
8+ Hours
Do You Have Any Comments, Questions, and/or Concerns?
What Would You Say Your Biggest Struggle Was This Week?
What Is Your Goal For Improvement This Week? What Action Will You Take To Make Sure You Hit That Goal?
Submit Check In
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