Weekly Check-In Template for Injury Prevention & Prehab Coaches

Use in FirstRep form

Client Health History

Understanding a client's injury history is crucial for tailoring prehab programs.

... Previous Injuries *

List any past injuries and treatments

1-10 Current Pain Level *

Rate your pain from 1 (no pain) to 10 (worst pain)

Y/N Medical Clearances *

Weekly Goals

Setting specific goals helps keep clients focused on prehab.

Aa Flexibility Goals *

What flexibility goal do you want to achieve?

Aa Strength Goals *

What strength goal do you want to achieve?

Aa Balance Goals *

What balance goal do you want to achieve?

Daily Activity Log

Tracking daily activities can help identify patterns related to injuries.

Aa Activity Type *

Type of activity performed

# Duration (minutes) *

Duration of activity

1-10 Post-Activity Pain Level *

Rate pain after activity

Prehab Exercise Feedback

Gathering feedback helps in modifying the program effectively.

... Favorite Exercises *

Which exercises did you enjoy?

... Challenging Exercises *

Which exercises were difficult?

... Exercise Modifications Needed *

What modifications would you like?

Referral Assessment

Knowing when to refer to a physical therapist is crucial for client safety.

... Signs of Serious Injury *

Describe any symptoms that may require referral

Y/N Referral Status *

Client Motivation Check

Understanding client motivation can help in keeping them engaged.

1-10 Motivation Level *

Rate your motivation to engage in prehab

... Barriers to Participation *

What barriers do you face in participating in prehab?

Why Use This Template

Increase Client Accountability

Regular check-ins encourage clients to stay committed to their prehab routines.

Tailor Programs Effectively

Collecting data helps in personalizing client programs for better results.

How to Use

Distribute the template at the beginning of each week and review responses together.

Use the feedback to adjust exercise programs as needed.

Customization Tips

Adjust the goals section to reflect specific sports or activities.
Incorporate visual aids for exercises in the feedback section.
Modify the referral assessment based on state regulations.
Add a section for nutrition advice related to recovery.
Include a section for tracking hydration levels.

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Frequently Asked Questions

What if a client refuses to participate in prehab exercises?

It's important to communicate the benefits clearly and encourage gradual involvement. Consider involving them in goal setting.

How can I make prehab more engaging?

Incorporate varied exercises, use gamification techniques, or set up friendly competitions to increase engagement.