The Experiment (Are you interested?)
I'm interested in 20 people who are willing to challenge their own beliefs over a 21 day period.

The following questions will either qualify you to be a participant or not.

I need 20 committed to people to take part in a paid program - but the first 20 will get something for FREE from me.

BEFORE DEC 20th I'm offering the first 20 people to get their BEFORE and AFTER story filmed for FREE.
However the 21 day program STARTS JAN 2nd and does cost commitment money.

For anyone else that want to take part once we reach 20 people... we will send you offer if you are accepted into the program.

Email address *
What's your first name? *
Your answer
What's your Age? *
Your answer
What's you best mobile number? *
Your answer
Are you good at being honest with yourself? *
Do you find yourself lying to yourself when things get too tough or if you are triggered emotionally? *
List the problems you are struggling with right now? (tick as many problems that applies to you) *
Required
Do you know why you have the above problems? (write down why you think you have these problems) *
Your answer
Do you think nutrition will fix your problems? *
Do you think exercise will fix your problems? *
Do you think someone else can fix your problems? *
What are you willing to do fix your above problems? *
If there was another option to fix your problems that didn't focus on diet or exercise, or other people would you be interested in committing to it? *
How long would you commit it to for? *
Imagine for a moment that each month this commitment was successful for you - how much money would you spend up to each WEEK to continue to see success and fix your problems? *
How much money would you spend up to each MONTH to continue to see success and fix your problems? *
How much money would you spend up to each YEAR to continue to see success and fix your problems? *
What are you currently addicted to? *
Required
If there was one thing you wish you had more support with, what would it be? *
Your answer
Are you willing to commit to a paid program that starts Jan 7th 2019? *
If you were asked to be part of an experiment that required you to film your journey, would you participate? *
Do you have 15 minutes to answer questions (in front a camera) before Dec 19th 2018? *
Would you prefer to film yourself or have a professional do it for you? *
Would you commit to 21 days to start with in the program? *
Would you cheat or lie to yourself or us about your commitment in the 21 day period? *
Would you like to participate in the experiment if you are NOT part of the first 20 people to apply? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service