PLT Quiz

1

Are you a woman over 40* This field is required.

YESNO

2

How long have you been actively trying to lose weight?* This field is required.

Less Than 3 Months

3-6 Months

6-12 Months

12 Months+

3

On a scale of 1-10 how committed are you to losing weight?* This field is required.

4

When trying to lose weight and starting a new plan, how long do you typically stick with that plan? (On average)* This field is required.

Less than a week

1-2 Weeks

2 Weeks+

5

How often do you end up making poor food choices based on emotions/stress?* This field is required.

1-2 times/week

3-5 times/week

5+ times/week

6

Which describes you best?* This field is required.

I tend to stick to healthy eating throughout the week but then I fall off track over the weekends

I struggle balancing my health and weight loss goals with my social life and love for good food and drinks

I eat healthy and I exercise, I just don’t understand why I’m not seeing results

I’m a beginner when it comes to losing weight and I don’t even know where to begin

7

What is your current weight loss goal?* This field is required.

I just want to lose that last 5-10 lbs of belly fat

I need to lose 10-20 lbs

I need to lose 20-40 lbs

I need to lose 40+ lbs

8

How often do you go out to eat throughout the week?* This field is required.

0-2 times

2-4 times

4+ times

9

Have you worked with a coach before?* This field is required.

YESNO

10

Do you have any medical conditions we should be aware of? Yes or no and briefly describe* This field is required.

11

If you found a path to hitting your weight loss goals once and for all, AND never struggle with your weight again, would you be willing (and able) to invest in the help and support necessary to get there?** This field is required.don’t worry we have options for all budgets, this question helps us understand your potential coaching options with PLT if we were ever to work together either now or in the future

Yes this is super important to me and I have access to $1997 (cash or credit) to solve my weight loss struggles once and for all.

Yes this is super important to me and I have access to $300-$500 (cash or credit) to solve my weight loss struggles once and for all.

No, I live paycheck to paycheck and I can’t financially invest in my health at this moment.

12

Last couple questions! What is your name?* This field is required.

First Name

Last Name

13

What's the best email for you?* This field is required.

example@example.com

14

Lastly, the best phone number so that we can send your results?* This field is required.

Area Code

Phone Number

15

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.* This field is required.

I agree