Tell Me About You
New Client Questionnaire
Email address
Your answer
Name and Birthdate
Your answer
Are you a Beachbody Coach or currently working with another Beachbody Coach?
What is your primary reason for having some interest in this group?
How much time PER DAY do you spend exercising right now?
How many days per week do you exercise?
How would you rate your nutrition and current daily diet plan?
Are you willing to check in 1x day on our Virtual Gym group and commit to posting/participating daily to track your progress?
List any health concerns/conditions that you are experiencing:
Diabetes, high blood pressure, joint pain or other injuries that will affect your ability to exercise
Your answer
List your most important, most realistic goal that you would like to achieve by the end of our first 30 days together.
Your answer
What will reaching these goals mean to you? Don't hold back!
Your answer
What have you done in the past that worked well for you?
Your answer
Where do you envision yourself in 5 years? Dream big here!
Your answer
What if you decide to do nothing today? How will you feel in 5 years if nothing changes?
Your answer
One of the requirements of this group is to replace 1 meal a day with a healthy (no artificial ingredients) meal replacement shake that contains a decent amount of protein. These challenge groups have been run for several years and the most successful people have made the committment to an exercise program and Shakeology. If you choose to not use the Shakeology, please list the name of the shake below you will be using.
Answer NA if you will be using Shakeology
Your answer
Do you have any Beachbody products at home currently? If so, list them below.
P90, 21 day fix, Insanity, Piyo, etc...
Your answer
If you lose your way during the challenge, what is the best way I can bring you back?
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