WEEKLY CHECK-IN

Name *

First Name

Last Name

On a scale from 1-5, how would you rate your sleep? *

5 meaning a full night of uninterrupted sleep, and 1 meaning waking up multiple times a night, grinding teeth, etc.

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On a scale from 1-5, how would you rate training intensity? *

1 being you don’t sweat and are never sore, 5 being you are dripping sweat and can barely move the following day.

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On a scale from 1-5, how close would you rate you reaching your water intake? *

5 being 100% meeting the requirement.

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On a scale from 1-5, how would you rate your bowel movement? *

1 being rarely pooping during the week and 5 being pooping 2-3 times daily.

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On a scale from 1-5, how would you rate your energy levels throughout the day? *

1 being you are dozing off throughout the day and 5 being you don’t need a stimulant to sustain focus and energy.

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On a scale from 1-5, how would you rate your stress levels throughout the day? *

1 being you don’t have any resistance and 5 meaning you borderline have panic attacks.

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