Fitness & Nutrition Support Group Questionnaire
By Coach Jana Suarez.
Name *
Your full name
Your answer
E-mail address *
Your answer
Telephone number *
Your answer
Best time to call *
How much time Can you commit to working out per day? *
What does a typical day look like to you? *
Please comment below from the time you wake up to the time you go to sleep what are your eating and drinking habits.
Your answer
What kind of exercise do you like to do ? *
On a scale from 1-5 how would you rate your nutrition? *
terrible
excellent
What would you like to accomplish in the next 60-90 days? *
What is motivating you to make a change? *
One of the most important aspect of my Challenger Fitness Group, even above the physical change, is the mental breakdown that occur! There are MANY ways to change the physical appearance but there is ONLY one way to keep it, ...and that is by making a shift in the way you think about both Nutrition and Exercise and the most important the way you THINK about YOURSELF and your potential.!!!
Your answer
How often do you eat out per month ? *
Required
How much do you usually spend by eating out and coffee-drinking beverages per month? *
Your answer
Do you take any kind of vitamins or supplements? *
please comment the name and how often do you take.
Your answer
What is the most difficult thing for you to make the life style that you desire? *
Your answer
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