CHECK IN FORMReminder - This form needs to be filled out in order to receive a check-in this week. Please be as detailed as possible. Name * First Name Last Name Phone (###) ### #### On a scale of 1-5, how do you feel your efforts were this week? 1 2 3 4 5 Did you complete all of your meal tracking tasks? * Yes No Rate your hunger (1 being not hungry at all, 10 being starving) * Rate your energy (1 being no energy at all, 10 being full energy) * Rate your strength (1 being weak, 10 being very strong) * Are you having regular bowel movements, please explain. * What phase of your cycle are you in? (menstruation, the follicular phase, ovulation and the luteal phase) is there anything that has changed or that you have noticed around your cycle? * How are you feeling physically? (feeling lean, bloated, on your cycle, etc) * * How are you feeling mentally? * Please list your current supplements here: * Include brand name and full name of supplement What is your biggest win for the week? Can be mindset, performance, or progress based. * Any life wins to celebrate outside of your health and wellness pursuits? * Do you feel like you've struggled with anything this week? * How did you feel about your workouts? * What are you doing to continue to reach your goals this week? * Is there anything additional you could use in order to reach your goals this week? * What is something you learned about yourself this week? * * View the terms and conditions here. I agree. By providing my phone number, I agree to receive text messages from the company. Thank you!