Align Co. โ CVC Spine & Sport
PARTS Method โ Weekly Weight Loss Check-In
Patient
Body Comp
Nutrition
Energy
Movement
Review
Summary
Check-In Info
PARTS Method โ Weekly Check-In
This check-in tracks progress, not perfection. We're looking at how your body is responding, what's working, and what we can adjust.
๐ก Complete all sections during the visit. The summary at the end generates a printable PDF to send home with the patient.
Body Composition
This Week โ Tita Scale Readings
Enter all values from the body composition printout
lbs
index
%
lbs
lbs
rating (1โ30)
lbs
years
Last Week โ Carryover Values
Enter from previous week's printout for comparison
lbs
index
%
lbs
lbs
rating (1โ30)
lbs
years
Week-over-Week Comparison
Auto-calculated from values above
| Metric | Last Week | This Week | Change |
|---|---|---|---|
| Enter values above to see comparison | |||
Progress Over Time
Body weight & fat mass trend โ adds each week automatically
Expected Weekly Progress Ranges
Healthy averages โ more is NOT better. Preserving muscle and hormones is the priority.
| Gender | Age Range | Expected Weekly Fat Loss |
|---|---|---|
| Female | 20โ39 | 0.5โ1.0 lbs/week |
| Female | 40โ55 | 0.25โ0.75 lbs/week |
| Female | 55+ | 0.25โ0.5 lbs/week |
| Male | 20โ39 | 1.0โ2.0 lbs/week |
| Male | 40โ55 | 0.75โ1.5 lbs/week |
| Male | 55+ | 0.5โ1.0 lbs/week |
How did this week compare?
Above expected range
Within expected range
Slightly below expected range
Weight stable, body composition improving
Weight up โ reviewing variables
Nutrition & Adherence
What Worked Well This Week
This helps us repeat success
Protein intake felt consistent
Meal timing felt manageable
Hunger was well controlled
Energy levels improved
Food choices felt sustainable
Planning / prep helped
Stress felt manageable
Hydration was on track
What We're Improving Next Week
No judgment โ just data. Every challenge gives us information.
Missed protein targets
Irregular meal timing
Social eating challenges
Emotional / stress eating
Low energy days
Travel or schedule changes
Poor sleep affecting choices
Insufficient hydration
Current Macro Targets
Record current prescription for reference
Section 8 โ Adherence Snapshot
Honest answers help us help you
On a scale of 1โ10, how consistent did the week feel overall?
Energy, Recovery & Well-Being
Energy tells us how your metabolism is responding. These scores help us detect if we need to adjust calories, macros, or recovery strategy.
Rate the Following (0โ10)
0 = terrible, 10 = excellent
Any New Symptoms or Concerns?
Flag anything unusual before continuing care
Unusual fatigue
Dizziness or lightheadedness
GI issues or bloating
Muscle cramping
Hair loss changes
Mood changes / irritability
Cold intolerance
No new concerns
Movement & Activity
Activity This Week
Check all that apply
Mostly walking / daily movement
Added light exercise
Completed PT program (Physitrack)
Strength training
Cardio / aerobic activity
Felt good with movement
Felt overly fatigued
Missed planned workouts
Clinician Review
Section 9 โ Clinician Summary & Next-Week Focus
Staff completes this section
Primary Focus for Next Week
Protein Consistency
Meal Timing
Stress Management
Sleep Support
Movement Adjustment
Nutrition Tweak
Hydration
Macro Adjustment
Recovery Focus
Maintain Current Plan
Section 10 โ Patient Confidence Check
Confidence matters โ low confidence predicts drop-off
"How confident do you feel going into next week?"
Very confident
Confident
Somewhat unsure
Need more support
Dr. Rudy Insight Box
Optional add-on โ used for patient education + reassurance
Use this space to write a personal insight, motivating observation, or education point for the patient to take home. This is what separates a check-in from a coaching moment.
Summary & Print
Week โ Complete
Patient: โ
โ
Body Weight
โ
Weight ฮ
โ
Body Fat %
โ
Lean Mass
โ
Visceral Fat
โ
Energy /10
โ
Consistency
โ
Confidence
Patient Take-Home Summary
Generated from this session โ review before printing
Progress Trend โ All Weeks
Builds automatically as you save each week