NOExcuses 30 Day Challenge Form

1

What is your name?* This field is required.

First Name

Last Name

2

What's your email?* This field is required.

example@example.com

3

Are you able to commit to working out at least twice a week?* This field is required.

YESNO

4

Are you in good general condition?* This field is required.

YESNO

5

What are you here for? * This field is required.check all that apply

To Lose Weight

To get fit

To be more athletic

To start your transformation

To Get shredded

To eat healthier

6

Briefly describe what your current fitness situation is?* This field is required.ex. “I am a mess. I’m overweight. My body hurts all the time."

7

What’s your dream goal?* This field is required.ex. “I’d like to lose 40lbs and fit into my old clothes again.”

8

How long would it take to accomplish this on your own?* This field is required.ex. "Forever."

9

Do you want to sustain your goal after you achieve it?* This field is required.

AbsolutelyNO

10

How long have you wanted to achieve this goal?* This field is required.ex. "Since my last child. It’s been 10 years and I just can’t get this weight off."

11

Why do you want this so badly?* This field is required.ex. “I have a 10 yr reunion coming up and I want to look good for it.”

12

You already know it’s hard to drop the weight, will you take our recommendations and willing to do what we ask in order to achieve your goal?* This field is required.

YESNO

13

Why are you applying right now?* This field is required.ex. “I want to lose the weight and I’m ready to succeed this time.”

14

Why is now a good time to start?* This field is required.ex. “Because I’m committed and my friend lost weight after joining your gym.”

15

Our average client loses 10lbs or more with us in the first 3 months. Are you okay with this?* This field is required.

That would be amazing!NO

16

What is your current state? And what’s your desired state?* This field is required.ex. “I’m 40lbs overweight. I want to be down to my college weight.”

17

Have you struggled to lose weight in the past?* This field is required.

YESNO

18

Have you struggled with maintaining a self directed fitness program in the past?* This field is required.

YESNO

19

Do you think you’d lose weight faster with an expert helping you along the way?* This field is required.

YESNO

20

Do you think you’d lose the weight faster with daily accountability?* This field is required.

YESNO

21

Is it more important that you lose weight quickly or permanently?* This field is required.

QuicklyPermanently