Application for Transformation Challenge March 31 - May 23, 2019
Please answer the following questions so we can help you reach your goals
Please fill out the following questions. Once approved, you will receive an email with a link for registration. Program cost is $374 JCC member / $435 non-member. Price includes Nutrition Guide Book. $15 value.
JCC membership status
Current JCC member
Former JCC member
Never a JCC member
We will be using a Closed Facebook Group for this program. Are you a user?
Are you physically active? If yes, describe what you do.
Do you prefer to work out alone or in a group?
In a group or with friends
What are your goals for your transformation?
What do you feel are the strengths that will help you achieve these goals?
What you feel are the biggest barriers to your transformation?
Who will support and encourage you?
How motivated are you to make changes to your overall lifestyle?
Not very confident because I have tried before and just lapse back into old habits. I'm still contemplating whether I can do this.
I know I need to change and recently started to work on new habits. I rate my confidence level about 75%.
Super motivated! 100% confident I can do it! Willing to try new things.
I don't need to make any changes. Just need someone to encourage me to keep going.
Rate how confident and motivated you are to implement the following specific changes (5 very confident: 1 not confident at all)
Prep & prepare the majority of your meals at home using recipes we provide
Read and log in a daily journal that you will receive on Day 1 of the program
Follow guidelines for eating out
Read and understand nutrition labels
There will be FOUR meetings with the program's Health Coach to work on nutrition strategies. Will you commit to attending these?
We will be offering workshops with our Holistic Trainer Team for stress management and recovery. Will you commit to attending these?
Which of the following do you consider when preparing meals?
Convenient, quick to make
Nutrition of the ingredients
Cost of the ingredients
How my meal will affect my health
What's easiest for my family
Don't really think about it
Is there any particular time of day you get food cravings or experience large dips in your energy level?
Evening after dinner
All the time
What do you crave?
Crunchy salty like potato chips, Fritos and fried foods
Sweet like chocolate, candy or fruit
Sweet and creamy like ice cream
Soda and sugary drinks, including diet drinks
Are you aware of any food sensitivities or food allergies you might have?
Do you have any medical conditions we should be aware of (i.e. orthopedic concerns, high blood pressure, heart problems*, asthma, etc) * Do you need clearance from your doctor to participate?
These are the times of our group training workouts. You may attend any two trainings during the week. Sundays are mandatory for all participants. Check the time slots that work best for your schedule.
Tuesday 6:00 AM
Tuesday 6:00 PM
Thursday 6:00 PM
Friday 6:00 AM
Sunday 8:00 AM
Is there any other information you think we should know? Please use this space.
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