Hey there! This short survey is designed to collect some data which will help me create and improve my new online lifestyle and fitness coaching service! I'm very grateful for all of your responses - they will be incredibly useful as I grow my business and learn how I can improve to help more people change their lives through health & fitness.
All answers will remain completely confidential and I will not share any of your personal information with third parties. By completing this survey, you are consenting to be added to my Mailing List and to be contacted around offers and promotions relevant to this survey.
First Name
*
Last Name
*
Email
*
Instagram URL
Tell me a bit about your current exercise routine...
What is your daily activity level?
*
Select option from the drop down menu
Do you exercise for a specific goal?
*
What (if anything) is stopping you from achieving this goal?
*
Would you benefit from guidance with your exercise/training routine?
*
Select option from the drop down menu
Tell me a bit about your current nutrition...
Which statement best describes your eating habits?
Please select option from the drop down menu
Would you benefit from guidance with your daily food intake and eating habits?
Please select option from the drop down menu
If YES, what type of food/diet support would be most helpful?