Name First Last Date Date Format: MM slash DD slash YYYY When taking the first survey were your goals realistic for the timeframe? Yes No Do your expectations for yourself align with the way you want to live the rest of your life (fitness and nutrition and health wise)? Yes No I'm working towards it Do you have an extreme mindset and if so were you still thinking that way when you were setting your goals for this program? Yes No Partially Are your expectations quick fix mentality? Yes No Somewhat Not sure
