Check-In Form | Envision Fitness

What is your forename and surname?

What were your workouts goals for this week?

Did you achieve your workout goals for this week?

Yes

No

Rate your workouts this week from 1 - 5 stars:

- 1 Star: Inconsistent

- 2 Stars: Requires Improvement

- 3 Stars: Getting There

- 4 Stars: Consistent

- 5 Stars: Optimal

Why did you give your workouts that rating?

Did you log all of your workouts for this week via Everfit?

Yes

No

What were your nutritional goals for this week?

Did you achieve your nutrition goals for this week?

Yes

No

Rate your nutrition this week from 1 - 5 stars:

- 1 Star: Inconsistent

- 2 Stars: Requires Improvement

- 3 Stars: Getting There

- 4 Stars: Consistent

- 5 Stars: Optimal

Why did you give your nutrition that rating?

What were your stress management goals for this week?

Did you achieve your stress management goals for this week?

Yes

No

Rate your stress management this week from 1 - 5 stars:

- 1 Star: Inconsistent

- 2 Stars: Requires Improvement

- 3 Stars: Getting There

- 4 Stars: Consistent

- 5 Stars: Optimal

Why did you give your stress management that rating?

What were your sleep management goals for this week?

Did you achieve your sleep management goals for this week?

Yes

No

Rate your sleep management this week from 1 - 5 stars:

- 1 Star: Inconsistent

- 2 Stars: Requires Improvement

- 3 Stars: Getting There

- 4 Stars: Consistent

- 5 Stars: Optimal

Why did you give your sleep management that rating?

What factors have contributed towards your motivation/discipline levels for this week?

Rate your motivation/discipline levels this week from 1 - 5 stars:

- 1 Star: Inconsistent

- 2 Stars: Requires Improvement

- 3 Stars: Getting There

- 4 Stars: Consistent

- 5 Stars: Optimal

Why did you give your motivation/discipline levels that rating?

Do you require any assistance from us?

Yes

No

Do you have any queries or concerns?

Yes

No

You acknowledge to receive electronic communications from Envision Fitness by submitting this Check-In Form