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End-of-Month Assessment

This monthly check-in is a chance to reflect on your progress, celebrate wins, and notice any changes in symptoms. Your insights help me support you better as we keep moving forward together!

Don't forget to take your progress photos before beginning your check-in.

Click the button below to start.

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Section One

 

Adherence and Accountability

Question 2 of 23

Upload your front photo.

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Question 3 of 23

Upload your back photo.

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Question 4 of 23

Upload your side photo.

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Question 5 of 23

On a scale of 1-10, how well did you adhere to the program guidelines this month?

Question 6 of 23

Did you follow the nutrition protocols consistently?

A

Yes, completely

B

Mostly

C

Sometimes

D

Rarely

E

Not at all

Question 7 of 23

Did you incorporate the recommended stress management techniques?

A

Daily

B

A few times a week

C

Occasionally

D

Rarely

Question 8 of 23

Did you engage in the suggested exercise or physical activity?

A

Daily

B

A few times a week

C

Occasionally

D

Rarely

Section Two

Symptom Tracking and Progress

Question 10 of 23

Which symptoms have you noticed improvement in this month? (Select all that apply)

(Select all that apply)
A

Menstrual regularity

B

Acne or skin health

C

Energy levels

D

Weight or body composition

E

Digestive issues (e.g., bloating, constipation)

F

Mood or emotional well-being

G

Other

Question 11 of 23

How would you describe the improvement in the symptoms you selected?

Question 12 of 23

Have any symptoms worsened or new ones appeared?

Question 13 of 23

Please describe any other significant changes or improvements you’ve noticed this month:

Section Three

Goals and Motivation

Question 15 of 23

How aligned are you with your primary goal (e.g., symptom relief, pregnancy, weight management)?

A

Very aligned

B

Somewhat aligned

C

Needs improvement

Question 16 of 23

On a scale of 1-10, how motivated do you feel to continue the program next month?

Section Four

Challenges and Obstacles

Question 18 of 23

Did you encounter any specific challenges this month?

Question 19 of 23

What obstacles, if any, made adherence difficult?

(e.g., time constraints, emotional challenges, external stressors)

Section Five

Additional Feedback and Support

Question 21 of 23

Was there any part of the program you struggled with or felt unclear about?

Question 22 of 23

Is there additional support or resources you feel would be beneficial?

Question 23 of 23

Do you have any other feedback for improving your experience in the program?

Confirm and Submit