Extra Riser Success Story Profile
Get featured on www.extrarisemnl.com and our Facebook and Instagram! :D

Please answer the following survey for your profile, then e-mail us your Fitness Journey (no need to do this if you already posted one on your Facebook - just link it to us), here are the following guidelines:
- Briefly describes the challenges, inspirations, and tips you encountered (what makes your journey special!)
- At least 50 words
- Attach before and after photos on the email

Recipient: extrarisemnl@gmail.com
Subject: Transformation Story - <First Name Last Name>
Body: Write-up About Your Fitness Journey

First Name and Last Name *
Your answer
Age When Transformed *
Your answer
Lost or Gained Weight? *
How Much Weight Lost/Gained? (in lbs) *
Your answer
Before Weight and After Weight (e.g. 230 to 160) *
Your answer
Fitness Program (select all that apply) *
Do You Engage In Any Physical Activity? *
If Yes, What Physical Activities? (e.g. Weightlifting, Running, Calisthenics, Obstacle Course, Tennis, Swimming, Frisbee)
Your answer
Do You Take Fitness Supplements? *
If Yes, What Fitness Supplements? - Include Brand (e.g. Herbalife 24 Whey Protein, ON Amino Acid, GNC Glutamine, Evlution Nutrition Fat Burner)
Your answer
Let’s get motivated together! Share your favorite motivational quote :) *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service