Meet Your Niche Questionnaire

1

What is the worst thing about your weight situation right now?* This field is required.

2

How long has this been going on?* This field is required.

3

What things have you done so far? And, how did those things work?* This field is required.

4

Why not just stay the way things are?* This field is required.

5

How committed are you to making the situation better? Where are you on a scale of 1-10? * This field is required.

Don't care

OMG, I MUST change this

6

Do you know anyone else with this issue?* This field is required.

7

BONUS question. If we come up with a way to help solve this, would you want to know about it?* This field is required.

YESNO

8

Email

example@example.com

Confirm Email

9

Name

First Name

Last Name