8 to Your IdealWeight Dreams & Goals Questionnaire
Greetings and Welcome to this Self-Awareness Questionnaire. It will tell us where you've been, where you are, and where you want to be with your IdealWeight! Once we receive it, you'll be getting a call for a short interview to see if this is a fit for your needs!
Best cell or evening phone number:
Why are you wanting to lose weight NOW? What are you missing out on?
What have you tried recently that HASN'T worked?
What kinds of processes/programs do you prefer? Check ALL that apply
A small support group of participants that connect weekly
Reading a book and doing it on my own
Weekly 1-on-1 checkins with a coach
Weekly weigh-ins for accountability
Having enough food choices for a normal lifestyle
Strictly defined daily menus
Being able to get my questions answered by a real person 7 days a week
A program that's easy to stay on while traveling
How much time are you willing to invest each week on Coaching/ Conference Calls/ Journaling? (Please note that a Facebook account is required for some of the program options.)
Whatever it takes
What days of the week work best for you for a Coaching Call or a Group Meeting? (Select 2)
An early morning time would be best
When would you like to get started?
As soon as possible
In the next month or so
I'm not sure
How will it feel to be at your IdealWeight, have your daily food decisions be easy, never be hungry, and regain your energy and confidence?
How did you hear about IdealWeight?
We will be mailing you your Personal Journal if you decide to invest in one of these levels. Please share your address below with the understanding it will never be used for marketing:
Finally, let's set up a 20-30 minute conversation to answer all your questions and see if this program is a fit for your lifestyle. When would be two good times in the coming week?
I look forward to talking with you soon! If you don't hear back within 24 hours of completing this questionnaire, please email us at firstname.lastname@example.org and let us know. Thank you!
Do Not Fill This Out