1. What does your current fitness routine consist of? (days per week, exercises you do, etc *
Your answer
2. In a year from now, what's your dream body look like? (please be specific, such as weight, body fat percentage, etc) *
Your answer
3. How much progress towards your fitness goals did you make last month? *
Your answer
4. What’s keeping you from reaching your goal? *
Required
5. What roadblocks are slowing you down and keeping you from reaching your dream body? *
Your answer
6. Do you have a personal trainer or are following a specific program you found/bought? If so, please tell us what the program is or what your trainer has you do. *
Your answer
7. How is your fitness progress going? (Most are in one of 3 places) *
8. If you could begin making fast progress towards your fitness goals, would you be interested? *
9. Could you handle the additional attention you'd get from friends as well as the opposite sex from making such fast progress? *
10. What's your full name? *
Your answer
11. What's your age? *
Your answer
12. Are you employed? If yes what is your occupation? *
Your answer
13. Phone # *
Your answer
14. What's your email? *
Your answer
15. What's your Instagram handle? *
Your answer
16. What's your Facebook? *
Your answer
17. What kind of help are you looking for right now? *
18. What would keep you from financially investing into your health and fitness goals? *
Required
A copy of your responses will be emailed to the address you provided.