Surveypoint

Q1

Name

First Name

Q2

Name

Last Name

Q3

Date:

Date

Q4

Type a question

Q5

Yes or NO (If yes, when and how long)

Q6

Type a question

Q7

Age:

Q8

Height:

Q9

Weight:

Q10

Ideal Weight:

Q11

How long do you think it would take to reach that goal on your own?

Q12

How long has this goal been on your mind?

Q13

Why is it important to you to get back in shape and be at your ideal weight your goal?

Q14

Will you weigh in weekly so we can monitor your progress and make adjustments?

Q15

During the challenge, participants lose 20-30lbs, are you comfortable losing 20lbs?

Q16

Please list why you are applying to join this challenge:

Q17

What is your goal weight?

Q18

Have you struggled in the past with being consistent with exercise?

Q19

Have you struggled in the past with being consistent with eating right?

Q20

If you had a trainer working with you 5 days a week, showing you exactly how to reach your goal, do you think you’d get better results than working out on your own?

Q21

I realize that reaching my ultimate goal may take longer than 6 weeks. Losing the weight andbody fat permanently is what is most important to me.

Q22

How many times per week do you eat fast food?

Q23

How many times per week do you eat 3 meals a day?

Q24

How much water do you drink a day?

Q25

What is your current sleep schedule like?

Q26

How many hours per day do you spend on electronic devices? (computer/phone/tv)

Q27

Challenge Application -Form Fill

Name

Name

Date:

Type a question

Yes or NO (If yes, when and how long)

Type a question

Age:

Height:

Weight:

Ideal Weight:

How long do you think it would take to reach that goal on your own?

How long has this goal been on your mind?

Why is it important to you to get back in shape and be at your ideal weight your goal?

Will you weigh in weekly so we can monitor your progress and make adjustments?

During the challenge, participants lose 20-30lbs, are you comfortable losing 20lbs?

Please list why you are applying to join this challenge:

What is your goal weight?

Have you struggled in the past with being consistent with exercise?

Have you struggled in the past with being consistent with eating right?

If you had a trainer working with you 5 days a week, showing you exactly how to reach your goal, do you think you’d get better results than working out on your own?

I realize that reaching my ultimate goal may take longer than 6 weeks. Losing the weight andbody fat permanently is what is most important to me.

How many times per week do you eat fast food?

How many times per week do you eat 3 meals a day?

How much water do you drink a day?

What is your current sleep schedule like?

How many hours per day do you spend on electronic devices? (computer/phone/tv)

How much down time do you have per day?