#100LivesChallenge with @WildFitFreeLife

#100LivesChallenge with @WildFitFreeLife
Let me help you change your relationship with food and/or fitness. Results guaranteed.

Please answer the questions below and I'll be in touch within 24-48 hours!
Name *

First Name Last Name
Email *
example@example.com
Phone Number

Area Code Phone Number
Where do you live? *

US UK Canada
Are you 18 or older? *

Yes No
How did you find me? *

Facebook Instagram Friend (please type your friend's name in "Other"
What's your IG name?
Are you willing to commit to at least 21 days of change with me? (That's just 3 weeks!) *

Yes No
What is your current fitness level?

I've never worked out Beginner Intermediate Advanced
What type of exercise do you LIKE best, if any? *
How often do you exercise?

0-1 times per week 2-3 times per week 4-5 times per week 6 days per week
Tell me about your current eating habits. Please be as detailed as possible and mention any intolerances or preferences i.e. Vegan, Gluten-free, Paleo, Lactose Intolerant, etc *
Do you have any current struggles with fitness and/or nutrition? Check all that apply! * *

Cravings Portion-Control Self-Discipline/Motivation Budget Accountability Time Energy Levels Meal Planning/Prep Accessibility Knowledge
Do you have any injuries I should know about? *
Anything else you would like to tell me in terms of fitness, health, nutrition, motivation, etc? *
When are you ready to get started with this lifestyle change?!?!?!?! *

OMG LET'S GET STARTED RIGHT NOW!!!! I'm ready but still have questions
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#100LivesChallenge with @WildFitFreeLife

Let me help you change your relationship with food and/or fitness. Results guaranteed.