Food Diary
d954304c-94fc-457a-b390-64135a623eac
Client Name:
Woody Avery
.
MOBILE NO.
Age:
years old
Height:
Date of birth
cm
Gender
Start Date:
Coaching tasks for
WEEK 1
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RECORDS SHOWING FOR SELECTED WEEK!
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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
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