Habits Coaching Survey

Your Key Challenges with Health, Fitness and Wellness

The purpose of this survey is to help us identify the challenges that you're struggling with right now with regard to your health, fitness and wellness.

Please go beyond saying "consistency" or "lack of knowledge" or "starting out". The more specific and detailed you are, the more likely I will be able to cover your topic efficiently and to your satisfaction. You may use the comment box in the third question to say more if you run out of space.

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* 1. Gender: How do you identify yourself?

male

female

other

prefer not to say

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* 2. What is your biggest CHALLENGE, FRUSTRATION or PROBLEM right now when it comes to health, fitness and wellness?

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* 3. What would you like to know more about?

healthy eating strategies

boosting testosterone

supplements, herbs, etc

dealing with back pain

improving your gut health

weight training tips

Other (please specify)

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* 4. If you were to hire an online coach/purchase an online program what would you like him/it to help you with specifically?

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* 5. What is your age?

18-24

25-34

35-44

45-54

55-64

65+

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* 6. Lastly, I may follow-up with a few of you personally to learn more about your situation. If you would be open to sharing more information via email, please leave your best email below.