21 Day Challenge Application

Gender

If you could only eat one food for the rest of your life what would it be?

What is your current occupation?

Do you have any health concerns or have you been diagnosed with any illnesses?

What is your #1 goal right now?

How long are you willing to commit to work towards that goal?

What is your commitment to exercise and training?

What is your current level of fitness?

Any nutrition restrictions or preferred eating styles such as vegetarian or vegan?

Have you ever had an online fitness or nutrition coach before? If yes, please explain your experience.

Why did you choose Coach Fitzz Online Training?

Why do you think Coach Fitzz Online Training can specifically help you achieve your goals?

On a scale from 1 to 10, 1 being "I just want to sit on the couch and eat Doritos" and 10 being "I'll eat chicken and broccoli all day, everyday if that's what it takes," how committed are you to achieving your fitness goals?

What would you consider a "Win" in the next 21 days?

Thanks for Submitting!

I will be reaching out to you shortly.

21 Day Challenge Application

BRYAN FITZSIMMONS

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