Check-In Form Tell me how you are doing! Name* First Last Email* Date* MM slash DD slash YYYY Success rating*Since our last check-in, would you consider yourself successful? Yes No Why or why not? Please be as specific as possible, with regard to food, movement, sleep, stress, play, rest, and more. What were your wins? What were your particular struggles?*Why or why not? Please be as specific as possible, with regard to food, movement, sleep, stress, play, rest, and more. What were your wins? What were your particular struggles?What specific events or circumstances are coming up that I should know about, that may help or hinder your progress? What questions can I answer and what can I help you navigate?*What specific events or circumstances are coming up that I should know about, that may help or hinder your progress? What questions can I answer and what can I help you navigate? What would you like to take away from today's session?*What would you like to take away from today's session? Δ