BIGGEST LOSER WEIGHT LOSS SURVEY

Thank you for taking the time to fill this out! This survey serves as your commitment to participate. Let’s get fit to lead!

Name

First Name

Last Name

Mobile Phone

(###)

###

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What's your why? Why do you want to lose weight in 2020?

What is your biggest obstacle?

Would you like a consultation or do you already know what to do?

Are you interested in learning about snacks and supplements to help you have grab and go items available?

What’s your weight loss goal? How many pounds do you want to lose?