Food Diary
9186a5e9-8cc8-4649-9574-35cab4e88735
Client Name:
Lorrie Steptoe
.
MOBILE NO.
Age:
years old
Height:
Date of birth
cm
Gender
Start Date:
Coaching tasks for
WEEK 1
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Notes for your use only
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Body Composition
Weight
STARTING
+ / -
CURRENT
59
000.00
59
Chest
34
00.0
34
Waist
29
00.0
29
Hips
32
00.0
32
BMI
00.0
00.0
00.0
BMR
00.0
00.0
00.0
FAT %
00.0
00.0
00.0
Sunday
Lunch
Tuna
WEEK 1
Monday
Dinner
beans and crumpets
WEEK 1
Saturday
Lunch
Testing chicken
WEEK 1
Thursday
Dinner
Uuu
WEEK 4
Sunday
Lunch
Chicken, rice, brocoli, Yorkshire puddings: 550 kcal
WEEK 3
Saturday
breakfast
Bagels and jam
WEEK 2
Tuesday
snacks
After eights
WEEK 2
Saturday
Breakfast
eggs and bacon
WEEK 1
Friday
Lunch
Food
WEEK 1
Tuesday
Dinner
Pasta and garlic bread 🍞
WEEK 1
Monday
Lunch
Tuna Salad 🥗
WEEK 3
Monday
breakfast
Toast
Completed Sessions
Progress Photos
COUNT
No Sessions Completed
Physical Performance
Instruction Gif
WEEK 1
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