Challenge Application
Before I get into all the details of the challenge... I need some more information so I can best help you! All of my challengers begin in different places on their fitness journey so let's get started.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
What is best way to get in touch with you?
*
Home Phone
Cell Phone
Email
Facebook
Other
Phone/Cell if you would like to schedule a call or receive texts from me.
Your answer
What’s your current weight?
*
Your answer
What's your goal weight?
*
Your answer
What have you been doing up until now to get to your goal weight?
*
Your answer
Option 1
Clear selection
What has stopped you from getting into shape in the past?
*
Your answer
What are your health and fitness goals?
*
Your answer
How will you know you’re accomplishing them? (ex. being able to do push ups, being able to go up a flight of stairs, etc)
*
Your answer
How much time are you willing to CARVE out of your schedule to get your workouts done?
*
Your answer
Are you committed to working towards proper nutrition?
*
Your answer
On a scale of 1-10 (1 lowest, 10 highest) what is your level of commitment to getting back into shape?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
