Nutrition and Fitness Questionnaire
By submitting this form, you are committed to learning how to reach your goals, while being supported with success tools and support from Coach Ashley Mahaffey.
We are most successful working with people who are ready for a change and need either the education and/or the support and accountability needed for new daily habits.
note: A positive attitude, maybe a little fear, and a short excuse list are common traits of those who reach their goals with my coaching expertise.
What is your current struggle/obstacle?
A)Who in your life has or does motivate you and why? B) Who/what inspires you by example and explain.
Are you on medication. (yes/no)
If YES, what condition is it for?
If you workout, what is your favorite style/type of workout (IE, weights, dance, cardio, bootcamp style)
A) How will you feel once you reach your goal, and why? B) Which public figure (celebrity, artist, famous) most represents the body type you'd like?
Given the education, training and accountability I am ready to change now.
A strong heck yeah!
I think so
I'm not sure
Which is your preferred method of communication?
Do you have a Beachbody coach?
Do Not Fill This Out