5 Day Free Clean Eating Challenge Form
Welcome! I'm so happy that you decided to join my clean eating challenge! My goal at the end of the 5 days is that you lose weight, feel more energized and are overall feeling great!

For all of that to occur, the next 5 days won't be easy, but if it was easy everyone could do it! However, I will provide you with all the tools to make it as easy as possible and will stand beside you every step of the way!

Once in the group you will find a very easy to follow shopping list, with very-simple easy to find items that you will need for the 5 days, nothing expensive or out of this world, I promise! I hope that you ENJOY this group and I want you to have LOTS of FUN and to be HEALTHY!

Now all you need to do is:
1. Just answer these SIMPLE questions, completely and honestly. It's not only important to know WHAT you want to get out of this, it is also important to know WHY!



Sign in to Google to save your progress. Learn more
What is your name as it appears on Facebook and your email address? *
What sparked your interest in taking this Challenge? *
What is your personal goal(s) for the next 5 days? *
Why is it important for you to reach that goal(s)? *
Will you commit to posting everyday in the Challenge Group? *
This can be as simple as an "I did it", it doesn't have to be anything too lengthy!
This is an Action Step. Check Yes once you've taken your BEFORE picture. It doesn't need to be anything crazy and can be a 'selfie' in the mirror. It should show your body image though! *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms