Client Tracking

Personal Fitness Training

Leah V. Fitness

Client Tracking

Please complete the following form and click "submit" when you are done.

Name:

Week of:

On a scale of 1-10 (10 being the best), rate your adherence to the goals/focus set forth in your nutrition plan:

Overall, how did you feel this week (tired, low energy, normal energy, hungry, satisfied)?

What positive changes did you make this week (choices you are proud of, or may not have made prior to beginning a re-structured nutritional plan)?

What obstacles/struggles did you encounter this week & how did you deal with them?

What changes will you make next week that will help you in meeting your goals (as set forth in your current nutritional plan/stage)?

If you are traveling, have a change in work schedule, or will be attending family/social gatherings/parties, outline your plan to assist you in making healthy nutritional choices:

Please check all that apply (in regards to the entire week):

I ate every 3 hours ea dayI ate at least 2-3 cups of vegetables ea dayI drank at least 1.5 Liter of water ea dayI consumed processed foods that were high in sugarI drank more than 2 alcoholic drinks this weekAt times, I felt dizzy due to low blood sugarI consumed within my caloric goal this weekI had 4-5 total meals (incl. "snacks") ea dayI consumed candy, cookies or sweets this weekI felt that I overate at times this weekI struggled with making healthy choices this week

On average how many hours of sleep are you getting each night?

Check each day in which you participated in planned, moderate intensity exercise for 30 min. or more:

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

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Hope you had a healthy week! I will review your information and reply with any comments. Keep working towards your goals and remember each day and each choice DOES count!

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Home
Bio
Training Options
Group Training
Registration
News & Updates
Client Achievements
Client Tracking
Contact
Challenge

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