YOUR BASIC INFORMATION
AND
QUESTIONNAIRE
Question1: Are you currently a Father or Husband?
Question 2: On a scale of 1-5, How would you currently rate yourself as a Husband/Father?
Question 3: On a scale of 1-5, How would you rate yourself in regard to providing support, safety, and prosperity for your family?
Question 3: On a scale of 1-5, How would you rate your current exercise and nutrition?
On a scale of 1-5, How necessary is having a coach and accountability partner in order for you to reach your goals?
Send