Kick It Naturally

Kick It Naturally

Natural Guides on How Your Body Works, and How to Work Your Body

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Pre-Challenge Survey

It’s happening!  It’s 2016 and we are about to rock the house.

Before we can get started on the process of seeing amazing results, we need to look at where we’re starting from.  At the end of the 12 weeks, you’ll get a chance to answer more questions so you can compare and see how far you’ve come.

Note: At the end you’ll upload a before picture of yourself so find or take a quick shot with your phone so you have it ready after you answer all the questions.  Be sure to hit submit at the bottom or it won’t go through.

Name:*
E-mail:*
Though I may be interested in all three, my main goal with this challenge is to:
Height*
Current Weight
Inches around waist at belly button*
Current Body Fat Percentage (Optional)
Overall Goal Weight (not just in this 12 weeks)
Goal Waist Measurement (at belly button)
List any current symptoms or health issues you would like to improve or alleviate, i.e. digestive issues, insomnia, pains, emotional issues, etc.:*
Aside from fat loss, what do you hope to get from this program?*
When you reach your goals, how will your life improve?*
Upload your before picture. Really do this! This is a powerful step, and we're not going to post your picture on the internet.*
I understand that I am responsible for my own health*

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