8 February 2021 at 15:53:56
Food Diary
87768c2d-2e29-4c43-9a75-3b7b923e975f
Client Name:
Milarn Harris
WEEK 6
.
MOBILE NO.
Age:
40
years old
Height:
Date of birth
170
cm
10 November 1982
Gender
Start Date:
FEMALE
8 February 2021 at 15:53:56
Coaching tasks for
WEEK 6
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Body Composition
Weight
STARTING
+ / -
CURRENT
59
000.00
Chest
34
00.0
Waist
29
00.0
Hips
32
00.0
BMI
00.0
00.0
00.0
BMR
00.0
00.0
00.0
FAT %
00.0
00.0
00.0
Completed Sessions
Progress Photos
0 Sessions completed this week
No Sessions Completed
Physical Performance
Instruction Gif
WEEK 6
Registration Form
Breakfast
Occupation details
Hours at a computer?
Time seated
How active
Regular exercise
Consistently active
Interested activities
Sleeping hours
Stressed
Stressed detail
Smoker
How many cigarettes
Drink alcohol
How many units per week
Been on a diet
Diet details
Feel about nutrition
Coffee
Tea
Coke/soda
Milk
Lunch
Dinner
Snacks
Goal 1
Goal 2
Goal 3
Proximity to goal 1
Proximity to goal 2
Proximity to goal 3
Biggest challenge
Biggest challenge other
Commitment levels
Task 1
Task 2
Task 3
Had a PT before
PT Details
How they found me
Why me
Doctor recommended exercise
Joint/back pain
Water
Bread/pasta
Chest pain
Chest pain recently
Sugar
Fruit and veg
Sweets
Chocolate
Dizziness/balance
Medication
Other reasons not to exercise
Additional comments
Signing date
14 December 2025 at 16:57:59
Agreed and understood box - ticked
Application Form not completed