JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
GET FIT EAT WELL Challenge
Each day you will be challenged to Get Fit and eat well. We will support you to reach optimum health.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Start Date of Challenge
MM
/
DD
/
YYYY
How many other friends and family members do you know that will like to attend with you?
*
1
2-5
over 5
none
Preferred Time
Monday Wed Fri 6:00 AM
Tuesday Thurs Saturday 6:00 AM
Evenings 7 pm
Day & Time doesnt work I will like to be notified about additional time
Clear selection
How much do you spend on groceries ?
Less than $50 a week
Between $50 to $100 a week
150 to 250 a week
$250 plus a week
Clear selection
Where do you currently shop for groceries?
Farmers Market
Online
Supermarket
Other:
How much time can commit to activities?
30 Minutes of workout
Less than 30 Minutes of workout
20 Minutes of cooking
Less than 20 Minutes of cooking
How would you describe your eating habits?
Not so healthy
1
2
3
4
5
Very Healthy
Clear selection
How often do you cook?
Cook Often
Dont cook
Cook Sometimes
Clear selection
Eating Lifestyle
Vegan
Vegetarian
Non Vegetarian
Clear selection
How would you like to be reminded to be complete your new habit?
Phone Calendar Reminder
Email
Text
Phone Call
Name
*
Your answer
Whatsapp Phone Number
Your answer
How would you describe your understanding of nutrition?
I have some idea
1
2
3
4
5
Health Nut
Clear selection
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
Forms
