Check in - Movement Health & Fitness Gym

check in form

Name

Did you feel supported this week?

No Somewhat Yes Extremely

What do you feel your coach could do better?

Where would you score your coaches level of support and commitment to you this week?

1 2 3 4 5 6 7 8 9 10

How motivated did you feel this week?

Not at all Somewhat Motivated Very motivated Extremely motivated

Are there any adjustments you feel need to be made to your plan?

Where would you score your own level of commitment to the plan this week? (1 being no commitment and 10 being fully committed)

1 2 3 4 5 6 7 8 9 10

How do you feel about your progress this week?

Unhappy Happy Extremely happy

Any additional comments?

Unit 3, 40 Kingsway
Kirkby-in-Ashfield
Nottinghamshire
NG17 7BD

01623 613109

0780 802 4463

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