A New Me Challenge Your details

Welcome to the New Me Challenge!

It's great to have your join the Challenge squad. Over the next 10 weeks our success coach will help guide your body into its best shape possible.To get started we need to know a bit more about you. Please fill in as many fields as possible and be as honest as you can.

We will not share your specific details with anyone outside of our success team, we just use this information to best understand your current situation, your goals and potential roadblocks so we can best support you.

First name

Last name

Age

Gender

City

Current Bodyweight

Goal bodyweight in 10 weeks

Current dress size (or shirt size)

Marital Status

Children and ages

Job (paid or otherwise)

How many hours do you work in an average week?

In one sentence sum up your current eating plan

How often do you drink alcohol and how many drinks in an average drinking session?

What diets have you tried in the past?

How successful were they?

What were the main roadblocks you encountered?

Did your weight rebound after you left your diet?

How much weight would you like to lose

Do you have a goal date in mind to achieve your goal?

List the top 3 reasons why you would like to lose weight

List the top 3 roadblocks you think you would stop you from achieving weight loss

Do you have any physical ailments?

Do you have any medical issues?

Any Allergens or dietary requirements?

What physical activities do you currently do and how often?

Have you eaten Muscle Fuel meals before?

Have you subscribed to a pre-made meal delivery programme before?

Do you prefer Savoury or Sweet?

Are you a homebody or adventurer?

What are you most looking forward to once you reach your goal weight?

Thank you! Your Success Coach will be in touch!

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