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Schedule A Call With Tafiq

Please fill out this brief questionnaire. At the end of the questionnaire, you'll have the option to schedule a call with Tafiq on the date and time of your choosing. 

Click the button below to start.

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Question 1 of 21

Name?

Question 2 of 21

Email?

Question 3 of 21

Mobile Phone?

Question 4 of 21

Age?

Question 5 of 21

Your biggest health and fitness challenge? (please explain in detail)

Question 6 of 21

With your job, are you primarily...

A

Sedentary

B

Active

C

I do not work and I'm pretty sedentary

D

I do not work but I'm pretty active

Question 7 of 21

Are you willing to follow the nutrition, fitness, and lifestyle recommendations of a coach to overcome those challenges (including daily physical activity, food journaling, and consuming mostly home-cooked meals)?

A

Yes

B

No

Question 8 of 21

Are you willing to do online workouts?

A

Yes

B

No

Question 9 of 21

Are you currently experiencing any of the 3 stages of menopause? 

A

Yes

B

No

C

Not sure

Question 10 of 21

Are you willing to commit to changing the way you eat to reach your goals?

A

Yes

B

No

Question 11 of 21

Are you married or have a significant other? 

Question 12 of 21

Will he/she/they/them be supportive of you working with a coach to reach your health and fitness goals?

A

Yes

B

No

Question 13 of 21

Do you have children? If so, how many and what are their ages?

Question 14 of 21

Have you invested in your health and fitness in the past?

A

Yes

B

No

Question 15 of 21

If yes, what did you like most about the experience?

Question 16 of 21

What type of budget are you willing to invest into your health and fitness goals?  

A

$699 - $1299

B

$1899 - $2499

C

$299 - $699

D

$1299 - $1899

Question 17 of 21

Do you consider yourself to be overweight?

A

Yes, I'm a little overweight (need to lose 10 to 15 pounds)

B

Yes, I'm overweight (need to lose 20-30 pounds)

C

Yes, I'm very overweight (need to lose 40 or more pounds)

D

No, I'm not overweight I need to improve my overall health and fitness.

Question 18 of 21

Some health and fitness issues take more time to heal and strengthen. If needed, would you commit to a program for 6 months or longer to achieve your desired health and fitness results?

A

Yes

B

No

Question 19 of 21

On a scale from 1-10, 10 being "I'M READY LET'S DO THIS". How ready are you to commit to transforming your health?

Question 20 of 21

 If you are not at a 10, what is stopping you from being at a 10?

Question 21 of 21

How did you hear about me?

Confirm and Submit