SurveyMonkey Powered Online Survey

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?

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* 2. What’s the BIGGEST obstacle standing between you and losing 30+lbs?

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* 3. What frustrates you THE MOST when it comes to carrying excess body fat?

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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?

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* 5. How old are you?

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* 6. Do you suffer from any kind of back pain? If so, please provide brief details.

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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?

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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!).

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* 9. Do you struggle with any of the following? Please choose all that apply:

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)

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.

Question Title

* 1. Why do you want to lose 30+ lbs?

Question Title

* 2. What’s the BIGGEST obstacle standing between you and losing 30+lbs?

Question Title

* 3. What frustrates you THE MOST when it comes to carrying excess body fat?

Question Title

* 4. If you magically woke up tomorrow having lost 30+lbs, how would you feel? What difference would it make in your life?

Question Title

* 5. How old are you?

Question Title

* 6. Do you suffer from any kind of back pain? If so, please provide brief details.

Question Title

* 7. If a workout was part of your plan, where would you prefer to workout: at home or in the gym?

Question Title

* 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!).

Question Title

* 9. Do you struggle with any of the following? Please choose all that apply:

* 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!).