Full Name
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Goal Review Section
What is your current goal?
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Does your current goal align with what you are willing and able to do? How so?
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What are your biggest obstacles?
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How would you rate your protein intake?
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1: I have no idea what my protein intake is
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10: Eating close to, at or above 1g of protein per pound of body weight (or protein with 2-3 meals/day)
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How would you rate your food quality?
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1: Not paying any attention to what I am eating - poor food quality
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10: Eating green veggies at a minimum of 2 meals per day/80% whole foods
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How many grams of fiber are you getting daily?
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Less than 10g
11-20g
20-25g
25g +
I'm not sure, I don't track.
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How would you rate your daily energy levels?
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1: Very low energy
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10: Very high energy
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How would you rate your daily stress levels?
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1: No stress at all
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10: Very high levels of stress
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On average, how many hours of sleep do you get each night?
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6 or less hours
7 or less hours of sleep per night
7-9 hours of sleep per night
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How would you rate the quality of your sleep?
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1:Wake up several times a night/wake up tired
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10: Sleep like a rock/Very high energy upon waking
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How many times a week do you consistently strength train?
What is your daily average steps for the last 3 weeks? List the overall average for the week. Add total number of steps each day and divide by 7. Repeat for each week.
This assessment is not about coaching but are you interested in hearing more about our Elite Group Coaching?
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YES
NO
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