EmailMe Form - Over 40 Fitness Weekly Report Form

Name *

First Last

Date Time *

MM / DD / YYYY

Days Since Last Photos *

Bodyfat % (if known)

Current Weight *

Rate Your Workout Adherence on the scale below *

Any skipped workouts? If so, Why?

How was your energy level?

How was your strength?

How was your water consumption?

Rate Your Overall Weekly performance on the scale below *

Weekly Sleep Patterns

Please give brief synopsis of how you feel, and any info pertaining to current week that you think is or is not necessary:

Please list any issue with workouts:

Any requests? (please be aware that these are not always granted):

Now for your input. Please list anything you think I can do to make things easier for you with your plan.

Images:

These are a MUST for any coaching program.

Please take pics in a well lit area with a solid light or white background (no busy backgrounds). Same place, same time of day, same day each week, same outfit if possible.

Guys: Boxers, briefs, etc..
Ladies: Bikinis, sports bra and tight shorts.
*Lighter colors are best to show detail

These pics are meant to show detail of your body to help evaluate progress and losses in specific areas. Since you are doing these workouts independently, this is how I will base progress. Pictures WILL NOT be used for before and afters.

Front View:

Side I

Side II

Back View