Wellness Assessment Questionnaire This form will provide The Fitness Project team the information they need to properly assess your needs Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *By which method did you connect with us? *InstagramFacebookReferralWebsiteOtherWhat promotion brought you here? *Black FridayOtherIf you choose to work with TFP, which Black Friday bonus would you like to receive? *An Apple Watch$250 Gift Card to Dick's Sporting GoodsWhich coach do you want to connect with? *Brian PickowiczLindsey RagoJulia DeignanKatelyn GannonStephen GannonNo PreferenceRelationship StatusSingleMarried or in a domestic partnershipDivorcedWidowedOccupation What are your current wellness and health goals? *Why must you reach these goals? *What are the biggest challenges you're facing in achieving these goals? *What have you tried to do in the past to breakthrough these challenges? *If you and your coach are a good fit, how willing are you to invest in the solution to challenges you're facing on a scale of 1-10? Selected Value: 0 Is there any additional information that you wish to include to help us with understanding how to support you? *EmailSubmit
