Group challenge intake form
Help me learn more about your goals
Name
First Name
Last Name
What are you hoping to get out of the challenge (ie: motivation, accountability, overall health, gain muscle, lose fat, nutritional support, etc)
What challenges have kept you from achieving your goals in the past? What has held you back?
Do you have access to at home equipment? (Dumbbells, kettlebell, exercise bands, exercise ball, bench, leberte bars, etc.). If yes, what do you have ?
How many steps do you do on average a day ?
Once you achieve your goals are you open to me sharing your testimony to inspire others to take the same steps you have (with your consent)?
Do I have your commitment to take your goals to the next level?
Submit
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