Vital Moms Survey
For moms working on their own health/fitness/energy. Your input is very much appreciated!

To clarify: All information you provide will remain anonymous and is intended for research to improve the vitality of moms everywhere. If you choose to leave your e-mail address, it will only be used for this survey. No extra unwanted mails or marketing!

Want to know more about me? www.fitfabulousmom.com

How many kids do you have? (Partners don’t count) *
How old is your child or children? *
(Just numbers in whole years. For example if you have 2 kids (like me): 3 and 1
Your answer
Are you parenting alone or with a partner (in the same household)? *
What does your (work)week look like? *
How would you describe your personal network? *
Limited (few friends & family)
Great (lots of friends & family)
How would you describe your general health? *
Pretty crappy
Super!
How many times a week do you workout/exercise? *
How many times a week would you IDEALLY like to workout/exercise? *
How sexy do you think you are? *
Like a sack of potatoes
Too hot to handle
How do you view your weight? *
I've got a lot of work to do
I'm perfect the way I am
When was the last time you did something nice for yourself? *
For example: getting your hair done, a spa day, pedicure, shopping trip, girls day out, etc.
How many times a week does your family eat healthy, home-made meals? *
How many times a week do you want your family IDEALLY to eat healthy, home-made meals? *
How often do you get the feeling it's 'rush-hour' around dinnertime at home?
Never, we don't do rush-hour
All the freaking time
How many times a week do you get outside and have fun with your kids? *
How many times a week would you IDEALLY like to get outside and have fun with your kids? *
How often do you start the day tired? *
In general, how would you describe your life? *
Chaos, utter chaos
Perfect, I wouldn't change a thing
What is currently the biggest stress factor in your life? *
Your answer
What is your biggest challenge in being a vital mom? *
Your answer
What gives you energy? *
Your answer
What's your biological age? *
What is your highest (completed) level of education? *
What country do you live in? *
Your answer
Curious as to the results of this survey? Please leave your name and e-mail address and I’ll send them to you!
For example: Johanne, johanne@fitfabulousmom.com
Your answer
Want to also be in the running for a free spot in my Fit & Fabulous program?
I’ll use the e-mail address you provided in the last question to contact you if you win :) Without an e-mail, I also can’t contact you!
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