Back
No matching results found.
Log in
Theme
Auto
Light
Dark
Vitality 360 Scan
1. First Name
2. In order to feel your best, how much weight would you like to lose?
In order to feel your best, how much weight would you like to lose?
Back
No matching results found.
10-20 lbs
21-40 lbs
41+ lbs
3. How much of a priority is it to lose this weight right now? On a scale of 1-10 (1 = not important; 10 = extremely important)
How much of a priority is it to lose this weight right now? On a scale of 1-10 (1 = not important; 10 = extremely important)
Back
No matching results found.
1
2
3
4
5
6
7
8
9
10
4. The goals you'd like to achieve (mindset, physique, metabolic etc.)
5. What are the 2 biggest challenges that are getting in the way of you being able to lose weight and keep it off (e.g. sugar cravings, emotional eating, confusion about what to eat, etc.)?
6. The Synaptic Fit Fusion Pros Academy is for action takers, who can invest their time, energy and make a financial commitment to their health and weight loss transformation goals. Does this describe you?
The Synaptic Fit Fusion Pros Academy is for action takers, who can invest their time, energy and make a financial commitment to their health and weight loss transformation goals. Does this describe you?
Back
No matching results found.
No
Yes
7. Working together comes in different levels of investment. What are you comfortable with investing right now per month to solve this issue?
Working together comes in different levels of investment. What are you comfortable with investing right now per month to solve this issue?
Back
No matching results found.
$1000 - 2000 per month
$2000 - 3000 per month
$3000 - 4000 per month
I don't have money to invest right now
Submit
___MESSAGE___
___MESSAGE___
Cancel
Submit
Cancel
OK