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Where I am Now Smoke Show Summer Form
**None of this information will be shared without your permission. It is purely for tracking purposes**
"Where are you now" and commitments
*
Indicates required field
Name
*
First
Last
What part of the Smoke Show Summer Challenge is it?
*
Baseline/Beginning of this challenge
Middle of this challenge
It is the end!
IS THIS THE END OF THE CHALLENGE? YOU CAN SKIP DOWN TO "CHECK IN HERE" SECTION :)
COMMITTING TO MOVEMENT:
This challenge, we are committed to moving our body for 30 minutes each day. Are you?
*
Yes, 30 min. (Or more) which is more than normal for me.
Yes, I am committed. But since this is my normal baseline I plan on getting weekly extra credit in.
No, I can’t do that, but I will do what I can.
COMMITTING TO MINDSET:
We are committed to having a daily mindset practice of journaling, meditation, breath work, or creative arts for at least 5 minutes each day, every day. -- I will daily (Check all that apply)
*
Meditate and/or breath work
Journal
Creative Pursuit (paint, color etc)
I plan to mix it up
COMMITTING TO NUTRITION:
You pick your food commitments based on your health history, registered dietician and doctors recommendation as needed. It is suggested as long as the particular food plan is *healthy* for you, stick with the same food plan for this entire challenge. Food plan commitment (check all that apply)
*
Whole 30
No processed foods
50% (or more) vegetables of your daily intake of food
Intermittent fasting
2 (or less) alcoholic drinks per week
Other
Explain/details
*
CHECK IN HERE:
STRENGTH NUMBERS:
Push-Ups in a minute
*
Rows w/band in a minute
*
Rocky abs in a minute
*
MEASUREMENTS:
Weight
*
Chest
*
Waist
*
Waist at belly button
*
Hips (feet together)
*
For help on measurements, check out this
tutorial video
FILL THIS OUT PLEASE TO HELP ME WITH WHAT TO DO DIFFERENT NEXT YEAR. TO SHOW ME WHAT YOU LEARNED FROM THIS FREE SMOKE SHOW SUMMER CHALLENGE. AND SO WE CAN CELEBRATE OUR WINS!
A 66 day challenge, is a long time to adhere. Remember any notices, shifts, awareness, successes and loss are gold for behavior change and feeling your best (and healthiest)! YOU ROCK!! I am so glad you are here!!
About how many days out of 66 would you say you did 30 minutes of MOVEMENT?
*
About how many days out of 66 would you say you did your 5 min. MINDSET practice?
*
About how many days out of 66 would you say you did your NUTRITION commitment?
*
WHAT DID YOU LEARN/WANT TO CELEBRATE OR APPRECIATE WITH YOUR MOVEMENT?
*
WHAT DID YOU LEARN/WANT TO CELEBRATE OR APPRECIATE WITH YOUR MINDSET PRACTICE?
*
WHAT DID YOU LEARN/WANT TO CELEBRATE OR APPRECIATE WITH YOUR NUTRITION GOALS & PROCESS?
*
Describe how you are doing now with your goals of what you want to accomplish, your progress/wins, and/or what your proud of!
*
Are you interested in a discounted personal training/coaching consult or regular live fitness inspired virtual classes (week days 5:45-6:30am EST)
*
Yes
No
We will be celebrating transformation stories. So I encourage you to take pictures each time you fill this form out. Also, a short video (selfie mode is great too) with where you’re at with goals, progress, and wins would be an awesome thing to have! I want to celebrate you! Would you be willing to be in the running to be selected as the smoke show transformation story winner?
WOULD YOU BE WILLING TO SHARE ANYTHING ABOUT YOUR EXPERIENCE AND BE IN THE RUNNING FOR THE FEATURED STORY OF SMOKE SHOW SUMMER CHALLENGE??
*
YES!
NO THANK YOU.
I'M NOT SURE
Submit
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