Fitness & Nutrition Questionnaire                 [Free Program Plan & Recommendation]
Please complete this form and your PLAN will be listed on the NEXT PAGE - Please be sure to take a screenshot, or save that page for review. I will email to you as well. 


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First Name *
Last Name *
Country of Residence *
(This is only available to those who live in the United States, United Kingdom, and Canada)
Email Address
*If you didn't include it above please post it here. If you have Gmail - You may have to Check your "Promotional" Tab for my Email
What is your Overall Health/Fitness Goal *
What area do you need the most help with in your nutritional plan? *
 (Cravings, Carb junkie, Sugar junkie, Late night snack, etc)
What Options Do you use for Support Nutrition & Supplementation *
Please check EACH of the Options that apply to you
Required
If you Selected above that you wanted a Protein Shake (Supplement)
Select Which Flavor
How / Where do you Workout? *
Please check EACH of the Options that apply to you
Required
When Working out, what Kind of Workouts do you like Best? *
Please check EACH of the Options that apply to you
Required
When do you want to Get Started on your Transformation/ Training Program? *
How did you Find me? *
What Program / Training Brought you to this Questionnaire? *
To be included in this exclusive training group, you agree that it is your responsibility to have approval from your doctor and assume all risks in participating in this training and group *
I understand that Christine's program and recommendations will advise & train me without obligation.  Additional resources include her free Facebook Fit Club group: https://www.facebook.com/groups/fitlifetrainingsupport
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