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This is the weekly check-in form for Jen Marchuk - this form is directly linked to Jen and she will be in touch with you very soon. 

 
Name *
Name
Please choose the best day.
On a scale of 1-5 (1=poor, 5=perfect), rate your adherence to your nutritional goals for the week?
On a scale of 1-5 (1=poor, 5=perfect), rate your adherence to your exercise and training goals for the week?
On a scale of 1-5 (1=poor, 5=perfect), rate any issues with lifestyle factors during the week (ie. sleep, stress)?
Please describe any successes you have had this week:
Please describe any setbacks or issues you had this week:

Reflect on how you scored adherence to nutrition, exercise and lifestyle for the week. Before your coach responds, think about successes you can build on and strategies that may help with issues.