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GoTRIBE Success Quiz
1
What are your fitness goals? Check all that apply.
Lose weight/fat
Gain muscle
Look better
Feel better
Get control of eating habits
Have more energy
Other
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2
What are some of your concerns about your health, eating habits, fitness, and / or body.
Purely aesthetic
I want to have energy for my current lifestyle
I want to improve my workout frequency
I'm concerned about how unhealthy I am
I need to get a hold of my eating
I'm concerned about my mental state as well as my physical state
Other
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3
Out of all of the above concerns, which ones feel most important / urgent?
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4
Have you tried anything in the past to change your habits, your health, your eating, and / or your body? If so, what?
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5
How well did it work? Did you get/sustain the results you were looking for?
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5
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6
Until now, what has blocked you or held you back from changing these things?
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7
Right now, how would you rank your overall eating / nutrition habits?
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5
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8
Approximately how many hours a week do you have physical activity?
None
5 - 9
Fewer than 5
10 - 14+
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9
Right now, how much do the people and things around you support health, fitness, and / or behavior change?
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5
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10
Have you have been diagnosed (currently or in the past) with any significant medical condition(s) and / or injuries?
YES
NO
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11
If yes, please describe.
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12
How would you rank your health right now?
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5
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13
Given all the demands of your life, what is your typical stress level on an average day?
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14
How do you normally cope with your stress?
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15
On a scale of 1-10, how do you feel about your schedule, time use, and overall busy-ness?
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16
In a quick sentence, what got you motivated to reach out?
Referred by a member or trainer? If so, who?
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17
First Name
*
This field is required.
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18
Last Name
*
This field is required.
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19
What is the best email to use to contact you during the day?
*
This field is required.
example@example.com
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20
Phone
*
This field is required.
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21
Are you ready to hit and sustain your fitness goals?
YES LETS GO!
NO
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22
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23
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24
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