Take Back Your Body Bootcamp
To be considered for this bootcamp, please fill in this simple questionnaire about yourself.
We want to know how to best help YOU get to your goals.
First and Last
Your answer
Your answer
Your answer
Where do you live?
Are you currently exercising or doing some kind of fitness regimen? If so, what are you currently using?
Your answer
What are your fitness or weight loss goals?
Your answer
What sort of workouts are you interested in doing?
What is your biggest motivation to make a healthy lifestyle change?
Your answer
This is a high accountability group. Checking in with your teammates DAILY and being a substantial part of the group is a requirement. Do I have your promise that you will participate DAILY?
If you get quiet and discouraged along the way, how do you prefer I motivate you?
My coaching during this boot camp is free; however the program and supplements are not. What is the amount you are willing to spend to reach your goals?
There are different programs available, all at different price ranges. Not all programs will be a good fit for your lifestyle and goals. Please choose the amount that you are willing to spend on yourself.
On a scale of 1 to 10, how serious are you about losing weight?
1 = just wanting information; 10 = I want to start yesterday
If you want to have a one-on-one call with me to answer any questions you might have about the bootcamp, you can schedule a time here: https://calendly.com/shirleyburnit/bootcamp-call
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms