Weekly Check-In Template for PCOS & Hormonal Fitness Coaches

Use in FirstRep form

Symptom Tracking

Monitoring symptoms helps identify patterns and triggers related to PCOS and hormonal imbalances.

1-10 Fatigue Level *

Rate your fatigue from 1 (low) to 10 (high)

D Menstrual Cycle Tracking *

Select the first day of your last period

... Mood Changes

Describe any mood changes this week

Exercise Log

Recording your physical activity can help tailor workouts to your energy levels and symptoms.

v Type of Exercise *

Select the type of exercise you performed

# Duration (minutes) *

Enter the duration of your workout

1-10 Intensity Level *

Rate the intensity from 1 (low) to 10 (high)

Dietary Intake

Monitoring food intake can provide insights into dietary patterns affecting hormonal health.

... Breakfast *

List what you had for breakfast

... Lunch *

List what you had for lunch

... Dinner *

List what you had for dinner

... Snacks

List any snacks you had

Hydration Tracker

Keeping track of water intake can help manage symptoms of PCOS and hormonal imbalances.

# Water Intake (ounces) *

Enter total water intake for the week

... Other Beverages

List any other beverages consumed

Sleep Quality

Sleep plays a vital role in hormonal balance and managing PCOS symptoms.

# Average Hours of Sleep *

Enter average hours of sleep per night

1-10 Sleep Quality Rating *

Rate your sleep quality from 1 (poor) to 10 (excellent)

Medical Coordination

Tracking consultations with healthcare providers ensures holistic management of PCOS.

D Last OB/GYN Visit Date *

Select the date of your last visit

... Notes from Consultation

Summarize key points from your last visit

Why Use This Template

Track Progress

Consistent tracking helps identify successful strategies.

Identify Patterns

Recognizing triggers can lead to better symptom management.

How to Use

Fill out the template weekly to monitor your progress.

Review your entries to identify trends and areas for improvement.

Customization Tips

Add specific dietary goals to align with hormonal balance.
Include personal motivational quotes to encourage consistency.
Adjust exercise intensity levels based on individual feedback.

Build and send pcos & hormonal fitness templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

How often should I complete the check-in?

It's recommended to complete it weekly for the best insights.

Can I customize the fields?

Yes, feel free to modify the fields to better suit your needs.