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Chaz’s Weekly Check-In

*Name(required)

Do you have any key takeaways, thoughts, or anything else you'd like to share about the week?(required)

*Daily Weigh-Ins (everyday of the week if possible please)(required)

*Measurements – At least once per month (Chest / Right Arm / 2" Above Navel / Navel / 2" Below Navel / Hips / Right Thigh – In that order please)

*How many days did you track your food intake and stay within your goal ranges this week?(required)

*Did you complete all of the workouts and cardio sessions/steps this week? If no, why not? (required)

*What's one thing you impressed yourself with during the week? Or what's one positive thing that happened in your life during the week? Doesn't have to be fitness related.(required)

*What's one thing you WILL do better in the upcoming week? Not try, but WILL. Make a commitment to it here. Doesn't have to be fitness related.(required)

*How do you "feel" physically? (pick more than one if needed)(required)

extremely sore somewhat sore exhausted somewhat tired energized not tired, but not energized amazing decent none of the above

*Rate your sleep for the previous week(required)

slept amazing / very rested slept pretty good / no complaints slept ok / could've used a little more not the best / pretty tired terrible / don't feel rested at all

*Rate your hunger level through the previous week (only choose one that averages out the week)(required)

always starving somewhat hungry pretty satisfied very satisfied uncomfortably full

*Rate your stress levels in your day to day life through the previous week(required)

very high high moderate low no stress

*Is there anything in particular you are struggling with that I can better assist you with for the upcoming week?(required)

*Do you have anything coming up this week that will hinder you from adhering to your current plan? If so, do have a plan to work through it, or would you like my help to create one? Let me know here. (required)

*On a scale of 1-5 (1 being completely checked out mentally and 5 being extremely motivated and unstoppable), how do you feel about the upcoming week? Can't use a 3. Feel free to explain if you'd like.

*Anything else you might like to share, please leave it here. Fitness related or not, I'm happy to listen and give input if you'd like.

*If you would like to schedule a monthly phone call to discuss anything with me, please schedule it through Emma, my assistant. She handles all of my scheduling and will set up a time that works for us both. Email her with “client call” in the subject line here: [email protected]

*Send progress photos (front, side, and back) here: [email protected]
(click on the email address)

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