Weekly Fitness Report

First Name*

Last Name*

Overall nutrition during the last 7 days INCLUDING WEEKENDS ( 1-Worst, 5-Middle, 10-Best )

How many days have you done 45 minutes or more of activity this week?

Overall stress level ( 0-No Stress, 5-Moderate Stress, 10-Extreme Stress )

Average water intake over the past 7 days total oz. per day

Average hours of sleep over the past 7 days

Overall effort towards reaching your health and fitness goals ( 0-Did Not Try At All, 5-Moderate Effort, 10-Did My Absolute Best )

Did you and your coach discuss your nutrition and exercise plan (personal training sessions and homework workouts) for the next 7 days?

Please select

Comments from any questions above

Do you have any concerns, complaints or suggestions on how to improve our services at OC Fitness Coach?