Food Diary
bd37f473-3287-4735-8859-3f2c3f840870
Client Name:
Sue Torok
.
MOBILE NO.
Age:
years old
Height:
Date of birth
cm
Gender
Start Date:
Coaching tasks for
WEEK 1
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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
Completed Sessions
Progress Photos
COUNT
No Sessions Completed
Physical Performance
Instruction Gif
WEEK 1
Registration Form
Breakfast
Greek yogurt with berries and spoon of honey or 2 eggs, cheese and tomato (alternating those two)
Occupation details
Accountant
Hours at a computer?
7-8
Time seated
7
How active
3
Regular exercise
1-2 Times a week
Consistently active
5 months (i had a month break before joining UR Fit
Interested activities
Group Personal Training, Running
Sleeping hours
7
Stressed
no
Stressed detail
Smoker
no
How many cigarettes
Drink alcohol
yes
How many units per week
2-3 (on weekends)
Been on a diet
no
Diet details
Feel about nutrition
Trying to improve my eating habits. Main meals are home made and overall healthy, but sweet cravings are my issue
Coffee
2
Tea
2
Coke/soda
0
Milk
0
Lunch
fish / meat with fresh salad or pasta
Dinner
some sort of protein with veggies / salad (sometimes rice or sweet potates) veggie meal 2 x week
Snacks
fruit (berries or watermelon), salted nuts, chocolate or popcorn
Goal 1
Loose weight
Goal 2
strengthen my upper body
Goal 3
have my ups and downs, usually fall off the wagon due to poor or lack of meal planning (when life/work gets in the way)
Proximity to goal 1
improved my exercise routine but not consistent with diet..
Proximity to goal 2
improved a bit, manage to work with heavier weights, practicing press ups
Proximity to goal 3
develop healthy eating plan and make it a daily standard
Biggest challenge
Radio button 1
Biggest challenge other
my biggest challenges are lack of time due to family responsibility and lack of motivation
Commitment levels
9
Task 1
Organise my weekly time between work, children etc
Task 2
Meal planning
Task 3
'Me time' to slow down and think of where I am and where i want to be
Had a PT before
no
PT Details
How they found me
Through a friend
Why me
The group class and timings appealed to me
Doctor recommended exercise
Joint/back pain
Water
6
Bread/pasta
0-1 depends on breakfast
Chest pain
Chest pain recently
Sugar
sugar mainly in snacks
Fruit and veg
2
Sweets
0
Chocolate
2-3
Dizziness/balance
Medication
Other reasons not to exercise
Additional comments
Signing date
28 June 2023 at 11:31:40
Agreed and understood box - ticked
Application Form not completed