Ready for Boot Camp Survey

1. I want to do boot camp!!!

I want to do boot camp!!! Yes! I definitely want to do the next boot camp

I'm Not Sure

No, I'm not interested

2. What boot camp program do you prefer?

	1st Choice	2nd Choice	3rd Choice
4-Week Boot Camp ($250)	*What boot camp program do you prefer? 4-Week Boot Camp ($250) 1st Choice	4-Week Boot Camp ($250) 2nd Choice	4-Week Boot Camp ($250) 3rd Choice
4-Week BCx Club, advanced program ($150)	4-Week BCx Club, advanced program ($150) 1st Choice	4-Week BCx Club, advanced program ($150) 2nd Choice	4-Week BCx Club, advanced program ($150) 3rd Choice
BCx Express 30-Minute Workout ($60/month)	BCx Express 30-Minute Workout ($60/month) 1st Choice	BCx Express 30-Minute Workout ($60/month) 2nd Choice	BCx Express 30-Minute Workout ($60/month) 3rd Choice

3. List your priorities in order of importance to help you meet your goals.

	Top Priority	2nd rority	3rd Prority	4th Priority	5th Priority
Cardio & Conditioning	*List your priorities in order of importance to help you meet your goals. Cardio & Conditioning Top Priority	Cardio & Conditioning 2nd rority	Cardio & Conditioning 3rd Prority	Cardio & Conditioning 4th Priority	Cardio & Conditioning 5th Priority
Strength & Toning	Strength & Toning Top Priority	Strength & Toning 2nd rority	Strength & Toning 3rd Prority	Strength & Toning 4th Priority	Strength & Toning 5th Priority
Diet Education	Diet Education Top Priority	Diet Education 2nd rority	Diet Education 3rd Prority	Diet Education 4th Priority	Diet Education 5th Priority
Accountability	Accountability Top Priority	Accountability 2nd rority	Accountability 3rd Prority	Accountability 4th Priority	Accountability 5th Priority
Improve Performance	Improve Performance Top Priority	Improve Performance 2nd rority	Improve Performance 3rd Prority	Improve Performance 4th Priority	Improve Performance 5th Priority

Other (please specify)

4. The time that works best for me is:

The time that works best for me is: 5:30am

9:00am

5:30pm

5. I am currently:

I am currently: 50lbs or more overweight

25-50lbs overweight

10-25lbs overweight

Healthy weight, but need to redistribute weight

6. My current physical condition is:

My current physical condition is: Overweight and/or out of shape, little to no activity

In Average shape, workout lightly 2-3 times a week

In Good condition, currently workout moderately 3-5 times a week

Physically Fit, workout intensely often

7. I am currently in BCx Express.

I am currently in BCx Express. Yes

8. I am currently a member

I am currently a member Yes

9. Did you know about our Chrome Membership? For $85/month you can attend as many boot camps as you would like, get unlimited inbodies, get 1/2 off protein shakes, plus your membership! Members can upgrade to the Chrome Membership and SAVE.

Did you know about our Chrome Membership? For $85/month you can attend as many boot camps as you would like, get unlimited inbodies, get 1/2 off protein shakes, plus your membership! Members can upgrade to the Chrome Membership and SAVE. I would like to be a Chrome Member.

I am not interested in the Chrome Membership at this time.

10. My contact information is:

My contact information is: Your Name:
Phone number:
Email address:

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