Challenge Group Application!

Full Name *
Email *
Phone Number (optional)
Link to Your Facebook Page (optional)
Why do you want to be a part of a challenge group?
On a scale of 1 through 10 how ready are you to get started? (1-3: Not Sure, 4-6: Maybe, 7-8: I might be, 9-10: I'm ready to do whatever it takes!)  1 2 3 4 5 6 7 8 9 10
What are your biggest needs?  Weight Loss Motivation and Encouragement Like-Minded People Tone Up Adding Muscle Sleep Better Getting on a Consistent Plan I want a lifestyle change Other
What are your biggest obstacles to achieving your weight loss/fitness/health goals?  Eating: I don't know how to eat healthy Eating: I know how to eat healthy, but I have a hard time sticking with it Motivation Time I get discouraged when I don't see results right away Little or no support from family/friends Other
What has been your history with fitness/weight/health? What are your current health and fitness goals?
Do you currently have a fitness coach that you work with? If so, who is your coach?  No Yes
Do you currently own a home workout program? If so, which one(s)?  No Yes
What program(s) are you interested in? (optional)
What is the best way to contact you?
How did you hear about these groups?  FB Instagram Friend Other
Anything else you want to tell me about yourself? (optional)
captcha
Enter in what you see above to send