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First Name
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Last Name
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Weekly Average Weight
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How was digestion? Daily BM’s?
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Please record your daily macros, fiber, and ounces of water you achieved per day.
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How many alcoholic beverages did you consume this week?
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How would you describe your daily activity levels/step count?
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How did your workouts go this week? Elaborate.
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How was sleep this week? Restful or interrupted?
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Rate your energy level this week.
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Rate your stress level this week and explain.
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What was your biggest struggle this week?
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What actionable steps can you take this week to overcome struggles or lack of motivation and stay on plan?
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What is one thing you did well this week?
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Is there anything else you’d like to share with me?