You are on page 1of 1

Mai Fitness - Client

'AMBER' Check-In Form


Please answer this form with as much honesty
and detail as possible

soldieressofchrist@gmail.com
Switch accounts

Saving…

The name and photo associated with your


Google Account will be recorded when you
upload files and submit this form. Only the
email address you enter is part of your
response.

* Indicates required question

Email *

nana.apenteng@icloud.com

Name

Nana

Date

DD MM YYYY

04 / 12 / 2023

LAST WEEK Average Weigh In

N/A

THIS WEEK Average Weigh In

N/A

What's your BIG WIN of the week? * *

6/7 days of between 8K-10K steps

Have you faced any roadblocks this week? * *

Period cravings so I ate a lot of sweet desserts

What is the one thing you need to work on this *


week?

Consistency with my walks + doing a Pilates session

Do you feel like you've taken another step closer *


towards 'The Vision' this week? *

Yes!

Is there anything I need to change? *

No

TRAINING - How many training sessions have you *


completed this week? If less than 3 why?

0 - I didn’t make the time for it

Final Words

ABOUT YOU - What one thing do you think you *


need to work on most for the coming week?

Doing a workout

ABOUT YOU - What are you most looking forward *


to next week?

Resting

Please let me know about anything coming up this *


week that could present a cha"enge with regards
to staying on plan so that we can work around it.

N/A

Feel free to upload your meal plan for next week for
extra accountability

Add File

What are you grateful for this week?

Friends and family:)

Any other comments or questions

N/A

Send me a copy of my responses.

Submit Clear form

Never submit passwords through Google Forms.

reCAPTCHA
Privacy Terms

This content is neither created nor endorsed by Google.


Report Abuse - Terms of Service - Privacy Policy

Forms

You might also like