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Weekly Check In Form Template

A free weekly check in form for health, nutrition and wellness coaches. Clients rate their week, share wins and struggles, and set next week's focus.

Use template

Customize the pages and design to fit your needs.

Time for your check in.

Rate your week and share your wins in about three minutes.

About this template

Send the same link to every client each week. They rate energy, sleep, stress and habits, share wins and struggles, and add a progress photo, so you can review the week before your call.

Common uses

  • Health and nutrition coaches
  • Online wellness programs
  • Group challenges and habit programs

Key features

  • Week, energy, sleep and stress scores
  • Wins, struggles and next focus
  • Optional progress photo

What this template asks

  1. What's your full name?

    Short Text

  2. What's your email address?

    Email

  3. Which week is this check in for?

    Date

  4. How was your week overall?

    Opinion Scale

  5. How was your energy?

    Opinion Scale

  6. How did you sleep?

    Opinion Scale

  7. How stressed did you feel?

    Opinion Scale

  8. How many days did you stick to your plan?

    Single Choice · 0 to 1, 2 to 3, 4 to 5, 6 to 7

  9. What were your wins this week?

    Long Text

  10. What got in the way?

    Long Text · Optional

  11. Upload a progress photo

    File · Optional

  12. What do you want to focus on next week?

    Short Text

  13. Is there anything you need from your coach?

    Long Text · Optional

How to use this template

  1. Copy it

    Select Use template and a copy opens in your workspace as an unpublished draft.

  2. Make it yours

    Edit any question or answer, choose a theme, and add your logo.

  3. Share it

    Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.

Frequently asked questions

What should a weekly coaching check in ask?

A score for the week, energy, sleep and stress, how many days the client followed the plan, wins, struggles, a progress photo and next week's focus.

How do I send it to clients every week?

Share the same link with each client, such as in your welcome email or client portal. Each check in is saved with the date, so you can see every week in order.

Can I track a client's scores over time?

Yes. Send check ins to Google Sheets and filter by client to see how their week, energy and sleep scores change.

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