Fitness Questionnaire

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Would you Like a

FREE Customized Beachbody Workout Calendar?


In just 3 steps, you’ll have 30 days of Free & Unlimited Access to

All of the Beachbody Workout Programs

streamed to your smart phone, smartTV, and tablet!


Step 1) 

Fill out and submit the Questionnaire below.  Make sure to

email me or message me on Facebook to let me know that you’ve filled it out.  I’ll create and email you a customized Beachbody Workout Hybrid based on your preferences, level of fitness, and amount of time you have each day to workout.

Step 2) 

While I am generating your workout calendar, make sure to take your measurements and “before” photos.  These will be for you and you alone to measure your progress.  

Step 3) 

Signup for my weekly Fitness and Nutrition Newsletter.  I’ll provide you with tips, and delicious healthy recipes to help you maximize your goals.   You’ll also receive a free eBook from me.  🙂

I’ll send you the link  so you’ll be able to have unlimited access to All of the Beachbody Workout Programs for 30 days..  FREE  


[contact-form subject=’Fitness Questionnaire!’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Why are you interested in joining this accountability and training group?’ type=’textarea’/][contact-field label=’What are you currently struggling with?’ type=’textarea’/][contact-field label=’What is it that you want to achieve over the next 21 days? Be as specific as possible. (Lose Weight? Gain Energy%26#x002c; Stay Consistent%26#x002c; Learn More about cooking healthier meals%26#x002c; gain endurance%26#x002c; etc.)’ type=’textarea’/][contact-field label=’Are you a Beachbody Coach?’ type=’select’ required=’1′ options=’Please choose an answer below,Yes,No’/][contact-field label=’If you are not a Coach%26#x002c; Are you working with a current Beachbody Coach?’ type=’select’ required=’1′ options=’Please choose an answer below,Yes%26#x002c; I am working with another beachbody coach,I am not sure if I have been assigned to another Beachbody Coach,No%26#x002c; I am only working with you’/][contact-field label=’If yes%26#x002c; what is the name of your Beachbody Coach?’ type=’text’/][contact-field label=’What is your level of Fitness’ type=’select’ required=’1′ options=’Please Choose an Answer Below,Beginner (I%26#039;m just starting my Journey),Intermediate ( I%26#039;m fit enough to run a 5k right now),Advanced ( I can handle workouts like Insanity)’/][contact-field label=’What workouts do you currently do for exercise?’ type=’textarea’/][contact-field label=’What is your preferred workout style?’ type=’radio’ required=’1′ options=’Cardio,Muscle Building,Less than 30 min,Dance,Slim and Tone’/][contact-field label=’How Many Meals do you eat per day?’ type=’text’/][contact-field label=’Where do you struggle with food?’ type=’select’ required=’1′ options=’Not sure what to eat,No time to fix my meals,Not sure about portion sizes,Not sure where to start,Low Will Power’/][contact-field label=’Do you Like simple meals or wide variety?’ type=’select’ required=’1′ options=’Please choose an answer below,Simple,Wide Variety’/][contact-field label=’Have you ever tried shakeology?’ type=’select’ required=’1′ options=’Please choose an answer below,No%26#x002c; but I would like more information,Yes%26#x002c; but I am not using it right now,Yes%26#x002c; but I still have extra bags that I am still using.’/][contact-field label=’Are there any physical or dietary restrictions that we need to take into consideration?’ type=’text’ required=’1’/][contact-field label=’Do you own Dumbbells or Resistance Bands?’ type=’textarea’/][/contact-form]

In This Together,

Coach Eric Hollingsworth
P90X, PiYo Certified Fitness Coach

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