Weight Control Program-First Coaching Call Form Form for the admin/health coach to fill out as they talk with the client during their first coaching call in the Weight Control Program. "*" indicates required fields Health Coaching FormTo be done in week 2 by the DHF health coach/group leader for driverName* First Last Date of coaching call* MM slash DD slash YYYY Driver or User Code* Truck # Phone*Email* Age* Which are you? Driver In-house What division do you work in?* Tanker Flatbed Reefer Intermodal What type of driver are you? Solo Team Trainer Weight (in pounds)*Height (in inches)*BMI*Calculate driver's BMR*After calculating BMR walk the driver through our tracking options, i.e., My Fitness Pal and The Plate Method. Have you tried anything previously, prior to this program, to make progress towards your weight loss goals? Be specific as possible.*Examples would be trying a diet, another exercise program, using a personal trainer, reading health and fitness magazine articles, etc.What, specifically, has stopped you in the past from reaching your goals?*Examples would be not enough time, tight work deadlines, lack of motivation, family issues, etc.Using a scale of 1 to 10 (1 being "There's No Way", and 10 being "Definitely Will Do"), would you be able to exercise for 15 minutes per day for 3-5 days this week.*10987654321Using a scale of 1 to 10 (1 being "There's No Way", and 10 being "Definitely Will Do"), would you be able to set aside 45 minutes to 2 hours this week to prep meals, grocery shop, or make healthier food choices this week.*10987654321Goal SectionGoal weight loss over 12 weeks* No more than 1-2 pounds per week weight lost as a goal. Aim for 5% weight loss goal over the program's 12 week span.Weight % loss goal based on pounds lost* General guidance; I wouldn't go above 5% here. Generally that's the limit for a program of 12 weeks.Objective #1 to reach goal Create action steps using the drivers input to reach their goals. These will change throughout the program.Objective #2 to reach goal Create action steps using the drivers input to reach their goals. These will change throughout the program.Notes section for DHF staff about driver
