Coach Tami

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Weekly Check-In Sheet

Please fill out weekly and submit with your journal pages for your coach to review and respond to.

Date of Check-in *

First Name *

Email *

Last Name *

1. Weight

Body Fat %

2. Describe bowel movement this week, ie: formed, loose, regular, constipated, etc.

3. I have a BM________ times a day on average this week.

4. Gas, bloating, belching, or reflux?

Yes

No

5. My sleep is...

6. My energy levels are...

7. My activities/workouts are...

Walking w/ purpose

Yoga / Pilates

Strength Training

Aerobics / Zumba

Other

If checked Other, list your activity here.

8. My mood has been...

9. How many group calls did you attend this week? *

0

1

2

3

4

10. How many group call recordings did you listen to this week? *

0

1

2

3

4

11. What did you learn or like about it?

12. Future topics you'd like covered, if any.

13. Do you have any questions or concerns?

Check all that apply.

Drank 1/2 my body weight in ounces

Submitted my journal pages for my coach to review

Did you take all of your supplements? *

Yes

No

If you answered No to the question above, why?

Upload journal pages saved on your device.