Thank you for filling out the short form below

KrisFit Nutrition and Exercise Form

Option 1

Name *

Email *

Age

Phone number *

Gender *

Favourite "Indulgent" Food

Ice Cream

Chocolate

Pizza

Wine

All of the things :)

How did you find me? *

Facebook

Instagram

Internet Search

Friend/ Family Member

Ad in the National Enquirer ;)

Other

Aside from telling you some amazing "dad jokes", how do you think I might be able to help you?

Have you ever hired a coach before? If yes, how was the experience? *

Any previous or chronic health issues? If yes, could you please explain. *

On a scale of 1 to 10 how committed are you to achieving your goals?

What are your goals?

Why do you think you haven't reached your goals yet?

How long do you think it will take you to reach your goals?

90 days (3 months)

180 days (6 months)

1 year

More than 1 year

Why did you pick the answer above?

Are you willing to invest $100 to $200 to achieve those goals?

Yes. That's only $25-50 per week for a certified trainer and nutritionist!

No. That's too much to invest in my health right now.

I'd like some more information first.

Anything else you'd like me to know?

Thanks for filling out the form. I look forward to connecting :)

Submit

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service