Form cover
Page 1 of 1

Strong Mom Quiz

1.) To confirm, you are filling this out because you want to lose between 10-25lbs of stubborn fat, regain energy, optimize hormones, build lean & tone muscle + make this the LAST COACH you’ll ever need?

1.) To confirm, you are filling this out because you want to lose between 10-25lbs of stubborn fat, regain energy, optimize hormones, build lean & tone muscle + make this the LAST COACH you’ll ever need?
A
B

2.) What is your Full name?

3.) Which of the below best describes your goal?

3.) Which of the below best describes your goal?
A
B
C
D

4.) What makes you interested in working with our team specifically?

4.) What makes you interested in working with our team specifically?
A
B
C
D
E

5.) What is your current occupation and how long have you been doing it??

6.) Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth?

6.) Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth?
A
B
C
D

7.) Select the things that you spend money on each month, that aren't helping you toward your health and fitness goals?

7.) Select the things that you spend money on each month, that aren't helping you toward your health and fitness goals?
A
B
C
D

8.) How much (if you had to guess) are these costing you each month in total?

8.) How much (if you had to guess) are these costing you each month in total?
A
B
C
D

9.) If we are able to come up with a plan that you feel would help you reach your goals, are you willing to give up some unnecessary expenses above so you can invest into your health?

9.) If we are able to come up with a plan that you feel would help you reach your goals, are you willing to give up some unnecessary expenses above so you can invest into your health?
A
B

10.) What is your Email Address ?

What is your phone number ?