"Claim Your Fitness"
Quick 60 Second Tip!
Lesson 75

Click on the HTML link code below.
Copy and paste it, adding a note of your own, into your blog, a Web page, forums, a blog comment, your Facebook account, or anywhere that someone would find this page valuable.

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Coaching Questionnaire
Please note that all fields followed by an asterisk must be filled in.
First Name*
E-Mail Address*
Home Phone*
What do you most want to change today?
Have you tried to change this before?
What have you tried in the past?
What happened with those approaches?
Why do you think it didn't work?
What do you see as your biggest challenge?
On a scale from zero to ten how important is it for you to make these changes once and for all?

"Claim Your Fitness"Quick 60 Second Tip!Lesson 75