Client Check InPlease submit all check in forms at least 2 hours prior to appointment time. Date * MM DD YYYY Name * First Name Last Name This week's rating of your energy level throughout the day * 1- Poor 2 3 4 5- Excellent This week's rating of your sleep quality and quantity * 1- Poor 2 3 4 5- Excellent This week's rating of your mood/stress * 1- Poor 2 3 4 5- Excellent This week's rating of your endurance/ability to perform exercise * 1- Poor 2 3 4 5- Excellent This week's rating of your satiety (how satisfied are you with the amount of food you are eating?) * 1- Poor 2 3 4 5- Excellent What are you really proud of this week? * What were your goals this week? It's okay if they ended up a little different than we discussed. What were you personally striving for? * What did you discover about yourself this week? * What's one thing you could do better to improve? * What do you need from me on our coaching call? (2-4 things- Be specific) * Thank you! I look forward to our coaching call.
