Health and Fitness Questionnaire
Name
First Name
Last Name
Email
example@example.com
Where do you live?
What is your Instagram Handle?
Do you currently have a workout routine?
Yes
No
Sorta Kinda
Are you a new mom? Little one under 2?
Yes
No
If you knew failure wasn't an option, where would you like to be in 3 months? (physically, mentally, emotionally)
What are your health and fitness struggles? Why have you not been successful in the past?
What is your fitness level?
Beginner
I do a few squats every now and then
I used to workout but I fell off the wagon
Advanced, Bring it on Tough Mudder!
What Nutrition approach do you feel you would benefit more from?
Structure is best! I need to know exactly how many portions of each food group to eat to reach my goals!
Flexibility! I can make it work into my lifestyle with travel, eating out etc and still find balance in eating healthy
I'm not sure
What Flavor of superfood shake interest you?
Chocolate
Vanilla
Cafe Latte
Combo
Are you currently a Beachbody on Demand Member?
Yes
No
Are you ready to join a crew of accountability partners with Fit Fam?
Lets Get It Poppin
Not Sure
Submit
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