Lauren LWG Lifestyle Survey

1

Please type in your name.

First Name

2

What are you your health goal priorities in 2024, {firstname}?Tick all that apply

Fitter and stronger

Better sleep

Drop a dress or pant size

Improved immunity

Increased energy and focus

Lean up and reduce body fat

4

What time you eat your first meal of the day?

5

What time you eat your last meal of the day?

6

How much of an obstacle do you anticipate due to lack of willpower and discipline?1 star = easy | 5 stars = hard

1
2
3
4
5

9

How much of an obstacle do you anticipate due to lack of time to take care of your health? 1 star = easy | 5 stars = hard

10

What do you believe is the best way to achieve your health goals?Select one or more

Become Vegan

Give up alcohol

Eat less and exercise more

Go to the gym 5 x a week or more

Intermittent fast and skip meals

I'm not sure

11

Indicate which of the following applies to you, {firstname}.Select one or more

I skip meals regularly

I don’t exercise at least 4 x a week (Lengthy walks count as exercise)

I indulge in unhealthy snacks too frequently

I drink too much alcohol

I get hungry and tend to overeat

12

Thanks for taking the time to complete this survey, {firstname}.Would you like me to get in touch to give you a no-obligation plan on how you can achieve your health goals?

Yes please.No thanks.

13

Ok, please fill in your phone number below and I'll get in touch on WhatsApp

Please enter a valid phone number.