Please take a few minutes to read and answer the questions below…

Marketing Research Form

Name

First Last

What is your occupation?(Required)

Age(Required)

What is your main health or weight loss challenge?(Required)

How are you currently handling it/ what are you currently doing about it?(Required)

In an ideal world, what would you want your overall health to feel like?(Required)

What's been stopping you from getting there on your own?(Required)

Why is it important for you to get it handled now?(Required)

What have you tried in the past and did you feel it worked? What programs/ products have you tried? Why or why not?(Required)

What enticed you to purchase or try the products/programs that you have in the past to help with these issues?(Required)

If you were to estimate the cost of these procudts/programs you've used in the past, how much would you say you've spent over time?(Required)

What is the most you've spent on any specific program/product in the past to resolve these issues? What specific product was it?(Required)

How do you feel these issues are impacting your relationships? Social life? Job? Ability to fully live your life?(Required)

What will be different in your life if and when you get this situation handled?(Required)

When you get this handled, how will it change your life?(Required)

What do you feel you need in order to break through your current struggles with your health and weight?(Required)