Halfway Revisit Form Halfway Revisit Form Halfway Revisit Form All of your information will remain confidential between you and the Health Coach. Personal InformationDate DD slash MM slash YYYY Name First Last Email Halfway QuestionsWhat overall positive changes in your health and well-being have you noticed since starting your 6-month program?What goals have been met?Are there areas you would like to focus on, shift, or approach differently in order to meet your goals?What recommendations did you find helpful and which do you continue to use?Please list any people in your life you think could also benefit from work like this.Health InformationWhat positive changes have you noticed since your last session?What are your main concerns at this time?Any Changes with your weight? How is your sleep? Constipation or diarrhea? How is your mood? Are you exercising? Food InformationAre you cooking more?What foods do you crave?Food Information - What is your food like these days?BreakfastLunchDinnerSnacksLiquidsAdditional CommentsAnything else you would like to share?Any questions about foods or ideas introduced so far?
