APPLICATION

Annual Income:
<$80,000$80,000-$110,000$110,000 and up



Current Fitness Level:
10 (excellent)987654321 (poor)

Main Fitness Goals:
Lose body fat/lose weightBuild muscleTone upIncrease energyImprove healthLook & feel betterPrevent injuryImprove strengthImprove mobilityStay or be more athleticNutrition consultingWork on something specific (enter specifics in next question)


If I was guaranteed to get to my goal, how many days per week would you ideally work out?:
1-2 days per week3-4 days per week5-7 days per week

What excited you most about working out?:
SocializingReaching goalsI enjoy the way it makes me feelI hate working out but I know I should do it
How would you rate your current diet?
10 (dialed in)987654321 (pretty poor)



How willing are you to commit to an 8-week program?
10 (Absolutely in)987654321 (Eh, not really)

How would you rate your chances of success on an 8-week program?
10 (Guaranteed success)987654321 (Not much chance)