4-week Check in Form

PROGRESS CHECK-IN

* Indicates required field

Name *

First

Last

BODY

For the following photos, please wear form fitting clothing or a bikini/minimal clothing. This is all about YOUR comfort level, please do what feels best to you! I know it can be exponentially hard to take photos like this; however, photos are such a great way to visually see the changes happening within your body. I promise when you show up for yourself in this program, you are going to be in awe and look back to these photos and be able to see just how far you have come! (*Scroll down for photo examples*)

Photo- FRONT *

Max file size: 20MB

Photo- BACK *

Max file size: 20MB

Photo- SIDE *

Max file size: 20MB

The scale can be a useful tool to measure progress. I also understand everyone has a different relationship with the scale, and for some it can be extremely triggering. Only provide your weight if you are comfortable doing so. Again, I encourage you to do what feels best for you!

weight- lbs. *

Body measurements are another fantastic way to gain insight on what's happening to your body. Every time you take your measurements, take them at the same time and under the same circumstances- for example, first thing in the morning before eating or drinking. Use a flexible tape measure, and choose the widest part of your body to measure (example: for Thighs, the widest part is typically the upper thigh under your glutes).

Arms *

Abs *

Calf *

Chest *

Hips *

Waist *

Thigh *

MIND

Your WHY: Why are you doing this? Why are you here showing up for yourself? I need this to remind you when you want to give up WHY you're doing this for you. When things get hard, what do you need to remind yourself? *

What limiting beliefs are surfacing? *

Your VISION: What is the end goal for you (Whole life success)? What does your dream routine, mindset, body, and soul look like? Paint me a picture of your dream life/ideal day. *

What trauma is showing up for you (food/ relationship with self/ exercise)? *

Where do you feel the most "stuck" right now? *

Rate on a scale of 1-10 the following things (10 being you're a queen/king, and 0 being everything sucks):

Mental Clarity *

Self Confidence *

Bad ass energy *

Clarity on your mission *

Nutrition *

Body Image *

GI health *

belief in yourself *

Sleep *

Body Confidence *

Feeling "safe" in your body *

Overall fulfillment in life *

Submit

Example for photos below!

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