Quick Survey. Your responses are private and used solely for the purpose of helping me create a program specifically designed for you and people like you so you can be successful at reaching your goals.
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1.
Why do you want to lose 30+ lbs?
(Required.)
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2.
What’s the BIGGEST obstacle standing between you and losing 30+lbs?
(Required.)
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3.
What frustrates you THE MOST when it comes to carrying excess body fat?
(Required.)
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4.
If you magically woke up tomorrow having lost 30+lbs, how would you feel? What difference would it make in your life?
(Required.)
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5.
How old are you?
(Required.)
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6.
Do you suffer from any kind of back pain? If so, please provide brief details.
(Required.)
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7.
If a workout was part of your plan, where would you prefer to workout: at home or in the gym?
(Required.)
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8.
Drop your name and email below if you're interested in receiving more information about my upcoming course as well as free support and resources to help you reach your goals.
(You agree to me contacting you via email, which you can unsubscribe from at any time. I don’t do spam!).
(Required.)
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9.
Do you struggle with any of the following? Please choose all that apply:
(Required.)
Overeating
Emotional eating
Lacking Willpower/Motivation
Meal Planning/ Organisation
Time Management
Budget friendly meals
Low Blood Sugar
Low self esteem
Low Energy
Procrastination
Self sabotage
Lacking Knowledge
Depression
Inflammation
Mood Swings
Food Allergies or Intolerances
History of Eating Disorder/ Disordered Eating Patterns
Injuries
Headaches/Migraines
Other (please specify)
Current Progress,
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