Little Black Dress Weekly Check-In Form

Weekly Check-In Form for Success!

Name:
Starting Weight (in pounds):
Current Weight (in pounds):
On a scale 1-10, what is your motivation level this week?:
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What is your biggest accomplishment this week?:
What is your biggest struggle this week?:
What is your plan to overcome this obstacle?:
How can we help you meet your goal?:
How many times did you work out this past week?:
How many times do you plan on working out this upcoming week? (times & dates):
Overall how would you rate your efforts in terms of working out? :
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Overall how would you rate your efforts in terms of nutrition? :
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