Health = Wealth Fitness Application
Congratulations! You've started you journey!

Please fill out the form so we can get to know more about you, the more details the better so we can craft the best program for you
Sign in to Google to save your progress. Learn more
2021  You vs You     -     Start Now
What is your full name? *
Do you currently have a gym membership? (or at home weights) *
What does your current fitness routine consist of (days per week, exercises you do, etc) *
Do you have a specific diet? If yes please give details (Macros/cals, meals, etc) *
 In a year from now, what's your dream body look like? (please be specific, such as weight, body fat percentage, etc) *
 How much progress towards your fitness goals did you make last month? *
What have been your biggest roadblocks slowing you down from attaining your dream body? *
How would it make you feel to have your dream body? *
Do you have a personal trainer or are following a specific program you found/bought? If so, please tell us what the program is or what your trainer has you doing. *
How is your fitness progress going? (Most are in one of 3 places) *
If you could begin making fast progress towards your fitness goals, would you be interested? *
How much time per week are you willing to put towards your goals? *
What is your current motivation level on a scale of 1 to 10 to achieve your fitness goals? 1 being 'i could care less about my health so whatever' and 10 being 'I'm ready to be all in all of the time, Navy Seal style' *
If you could buy your dream body, what would you be willing to invest? *
What is your best phone number? (dont worry I will not spam call you) *
What is your best email? (only to create a profile if we continue to the program) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms