Weekly Feedback/Accountabilty Form

Today's date?

Full name

Are you in Phase 1 or Phase 2?

If in Phase 1, what week is today the start of - 1-12?

On a scale of 1-Chuck Norris, how would you rate your adherence since your last check-in?

What was the biggest challenge holding you back from giving the program 100% effort?

Do you have any upcoming events that will hinder your ability to stick to your program and get results?

What was your biggest lesson since your last check-in?

Describe your previous week in one word?

How much do you weigh this morning? (please ensure this weight is taken on an empty stomach, using the same scales and on a solid floor)

How much did you weigh last week?

What is your total weight loss so far?

Are you happy with that result? – Yes/no – if no, why not?

Average daily calories consumed since your last weeks check-in?

Average daily grams of protein consumed since your last weeks check-in?

Average water intake over the last 7-days?

Average daily step count over the last 7-days?

Are you up to date with the bi-weekly coaching modules? If yes, great. Keep going. If no, catch up! They will really help you achieve your weight loss goal. Go into your App, look under guides. Voila!

Yes
No

What could you have done differently this week?

What worked well this week?

How many times did you exercise this week?

On a scale of 1-10 how would you score your stress levels over the last 7-days? 10 is HIGH.

What could you have handled better this week?

The biggest insight/lesson I learned this week was…?

If I was coaching someone else in the same situation as me, the one piece of advice I would give them is…?

What needs to happen over the next 30-days for you to label it as a success?

Remind me of your FINAL weight loss goal?

Are you committed to hitting it?

Yes
No
LFG, Gav!

Weekly Feedback/Accountabilty Form

Please fill this form in every Monday morning.

But only if you want the best results from your time in the coaching programme!

Pin It on Pinterest