Full Name
Email
*
Q1 - How old are you?
20-29
30-39
40-49
50-59
60-69
70-79
80+
Q2 - What is your primary goal?
Lose body fat
Improve metabolic health
Build strength
Reverse a chronic condition
Q3 - Do you have any of the following? (select all that apply)
Type 2 diabetes / pre-diabetes
Osteoporosis
On GLP-1 medication
High blood pressure / cholesterol
Q4 - What best describes your exercise history?
Not currently active
Light activity (walking, yoga)
Moderate (gym 2–3x/week)
Athletic / highly active
Q5 - What has been your biggest challenge with eating?
No structure or system
Emotional eating
Don't know what to eat after 50
Eating well but not losing fat
Q6 - How are your sleep and stress levels?
Sleeping well, low stress
Some sleep issues or stress
Chronic stress / poor sleep
Not sure — never tracked it
Q7 - Where are you located?
Near Judy's studio (local)
Remote - I need an online program
Want both in person and remote
Q8 - What level of support do you want?
Self-guided with resources
Community + group coaching
One-on-one coaching
Full concierge management
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