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PERSONAL AND SMALL GROUP TRAINING
NUTRITION COACHING
3 month Nutrition Coaching Questionnaire
ABOUT ME
HOME
PERSONAL AND SMALL GROUP TRAINING
NUTRITION COACHING
3 month Nutrition Coaching Questionnaire
ABOUT ME
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YOUR CART
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Indicates required field
Client Name:
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Weight please?
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Chest Measurement (inches) - measure at nipple level
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Waist Measurement (inches) - measure 1 inch above navel
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Hip Measurement (inches) - measure at the fullest part of your butt
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How was your mood this last week?
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So much joy
Mostly good
Meh
Glass half empty
Let me elaborate...
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How were your energy levels?
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Productivity was my middle name
Mostly active but needed some down time
Some highs, some lows
Low energy most days
What were stress levels like?
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No stressors this week
Some stress, but manageable
Stressed more than not
Struggle bus
Here's why:
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How was your hunger level?
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I had trouble getting all of my food down.
No hunger.
I was hungry a couple times.
I felt very hungry most days.
How was sleep?
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Slept through most nights and felt rested!
Pretty good.
Had trouble falling asleep or staying asleep.
I could hardly sleep at all.
How closely did you follow your template this last week? (Please be honest.)
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100%
90/10
80/20
70/30
60/40
50/50 or worse
I chose 70/30 or below, and here's what happened:
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I want to tell you more about my week to help you guide me as we move forward:
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Submit
