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About Me
Weekly Check in
Step
1
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7
- General
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Name
(Required)
First
Last
Email
(Required)
Date
(Required)
DD slash MM slash YYYY
Wins for the week, what 1 to 3 things did you crush this week?
(Required)
What obstacles/areas of improvement did you have this week?
(Required)
Out of 10 how was your energy level this week?
(Required)
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5
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8
9
10
0 (Super low need to listen more to my body) 10 (High energy listened to my body)
Out of 10 how was your energy during the workout?
(Required)
1
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8
9
10
0 (Poor the entire workout) 10 (Poor the entire workout)
Out of 10 how did you feel after your workouts in average this week?
(Required)
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10
0 (Too tired and no energy left) 10 (Alert and super energized)
How have your meals been this week? Any negative/positive experience?
(Required)
How many times did you eat outside of your home?
(Required)
Select
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5
6
7+
Out of 10, how was your sleep quality this week?
(Required)
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10
0 (Light sleep woke up a lot) 10 (Deep sleep feeling refreshed)
Out of 10, what was your average sleep duration this week?
(Required)
1
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10
Very little sleep (less than 5 h), Fantastic (8+ hours)
Out of 10, how was your mood this week?
(Required)
1
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10
1 - Terrible mood, 10 - Happy/Relaxed
Out of 10, how was your self-esteem this week?
(Required)
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10
1 - Very Low, 10 - Lots of self-love
Out of 10, how stressed were you this week?
(Required)
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10
1 - Little to no stress, 10 - Stressed every day
What is one thing that you can improve/ start doing to be better than last week?
(Required)
What are you most grateful for this week? (It can be anything)
(Required)
Is there anything else you wish to discuss or share with me?
(Required)
