Journey to Wellness: Client Progress Check

Client Progress Check

Please fill out the progress check below before your next call so that we can make the best use of our time together. All questions are marked as required, but if one does not apply to you at this time, simply write N/A in the space provided.

First Name

Last Name

Daily water intake (in ounces)?

How has your sleep been?

Are you having daily bowel movements?

How is your mood? Answer on a scale of 1-10 with 10 being the most pleasant.

Are you having any aches and pains?

How is your energy level? Answer on a scale of 1 to 10, with 10 being the highest energy level.

How have your cycles been (if you are currently cycling)?

Other conditions? (brain fog, night sweats, hot flashes, etc.)

Realistically, what percentage of effort do you feel you are putting into the program?

If applicable, how is your weight OR how are your clothes fitting if you aren't weighing routinely?

Is there anything in particular that you are currently struggling with or would like more support with?

What are your specific goals for this month?

Client Progress Check

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