Goal Weight By Date Questionnaire
Answer the questions below and we will get you set up on the target weight by date spreadsheet to help keep you headed in the right direction, at the right pace!
First Name *
Your answer
Last Name *
Your answer
Height *
Your answer
Age *
Your answer
What is your current weight? *
Your answer
What is your goal weight? *
Your answer
If you have a target date, what is it? If you don't have a date in mind, put I don't know.
Your answer
(Answer this question only if you DO NOT have a target date) What would you like your target weight loss pace to be?
What email address would you like this Goal Weight By Date form sent to?
Your answer
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