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Week 4 Check - In Form
Current weight (kg) *
How was your energy this week?
Very low
Low
Good
High
Exellent
What was your biggest challenge this week? *
Waist measurement (cm) *
How was your sleep quality this week?
Very poor
Poor
Good
Average
Exellent
Did you experience any digestive issue? *
Blotting
Constipation
Loose stools
None
What was your biggest win this week? *
Upload progress photo (optional)
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Workouts completed this week? *
Stress level this week
Very low
Low
Moderate
High
Very high
Do your clothes feel different compared to week one?
Looser
Slightly looser
The same
Tighter
Bloating compared to week 1
Much better
Same
Slightly better
Worse
Hunger levels this week (1-10) *
Evening cravings this week
None
Mild
Moderate
Strong
Total weight change since week one (kg) *
Paragraph *
Do you feel this plan is sustainable long-term?
Yes, absolutely
Not sure
Yes, with small adjustment
No
Would you like to leave a short testimonial? *
Send