Online Check-In

    Client Information

    First Name
    Last Name

    Body Composition

    What was your weight this morning?

    Measurements

    Arm
    Chest
    Thigh
    Waist

    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?
    Did you have any meals outside your set macros? NoYes
    [group outside-macros-condition clear_on_hide]
    How did you feel afterwards? (guilty, shameful, happy, content, etc...)
    [/group]
    How many times did you eat out this week?
    Do you have any foods that you are craving or would like added to your meal plan?
    NoYes
    [group craving-condition clear_on_hide]
    Tell us about the foods. We will see if they will fit in the macros!
    [/group]

    Activity, Mood, Sleep

    How is your energy?
    Rate your energy from 1-5
    Any changes in your mood or attitude? NoYes
    [group mood-conditional clear_on_hide]
    Please explain the changes
    [/group]
    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
    [group stress-field clear_on_hide]
    Describe the new stressors
    [/group]

    Additional Information

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