weighin

oNLINE wEEKLY wEIGH in FORM

* Indicates required field

Name *

First

Last

Which Phase Are Your Currently in? *

Dieting to Lose Fat (Calorie Deficit) Reverse Dieting to Build Metabolism (Recomposition) Building Muscle (Calorie Surplus)

Email (Please make sure this is correct because the system will reply back to this email address) *

Please list your DAILY Weight (and Bodyfat if known) for the past 7 days: *

What Percentage would you say you stuck to the plan? *

What was your average weight last week? *

How many steps do you do on a daily basis? (Not required but gives us better feedback) *

How many days this week did you actually log a complete day of food? *

How many servings of protein are you having daily: *

How many servings of Carbohydrates are you having daily: *

How many servings of Fat are you having daily: *

How much water are you consuming on a daily basis? *

What mistakes did I make with my eating this week? *

What obstacles did you struggle with this week? *

Where do you need support? *

What lessons did you learn about your body and your eating this week? *

What did I do right with my eating this week and what could have you done to improve it going forward? *

Would you like to schedule a call to go over anything? *

Front Picture *

Max file size: 20MB

Side Picture *

Max file size: 20MB

Submit