Check-In

Date*

Name*

First Last

Email*

Phone*

Which Membership Are You?*

Weight (in pounds)*

Protein Goal ( grams)*

Fat Goal ( grams)*

Carbohydrate Goal ( grams)*

How many days last week did you stay within +/- 10 grams of your protein, fat and carbohydrate goals?*

Please enter a value between 0 and 7.

How many cardio sessions did you complete last week?*

Please enter a value between 0 and 7.

How many resistance training sessions did you complete last week?*

Please enter a value between 0 and 7.

How is your nutrition going?*

How is your training going? Is there anything exciting to share (PR's, New Skill, Energy During Training, etc.?*

Please explain changes you would like made in your custom plan.*

Are there any health issues we need to be aware of?*

MFP User Name and Password*

Privacy*

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