6-Week Challenge Orientation
Welcome to Synergy
Please fill out the form below. When you’re finished please hand back to your coach.
First & Last Name
What types of Training and Nutrition Programs have you tried in the past?
Cardio Only Programs
Nutrition Only Programs ( Whole30, Weight Watchers, Nutri-System, Jenny Craig, Etc)
Resistance Training ( Weights, Barbell, ect.)
All of The Above
Why This Program And Not Others? (Check all the Apply)?
The Results My Friends Have Achieved with This Program
The Results I have Seen From Your Website and Social Media
I Want Guaranteed Results
I Want A Proven Plan That Has Been Tested With Hundreds of People Like ME
Why Now? Why Not Wait?
On a Scale of 1 to 10 How Committed Are You To Your Goals?
What Has Stopped You From Achieving Your Goals In the Past? ( Check all That Apply)
Nutrition I Could Stick With/ Live With
I Don't Know How to Workout Properly
I Don't Know What I Don't Know
What Would You Like to Receive From Your Coach? (Check All That Apply)
The Maximum Possible Change In Strength & Physique In The Minimum Amount Of Time
Support & Guidance From An Experienced Coach
All Of The Above
How Many Times Per Week Will You Work Out?
The Sweet Results