* 1. Name

* 2. Email address

* 3. Facebook URL

* 4. Do you currently have a Beachbody coach that you work with? If so, who is your coach?

* 5. How did you hear about this program?

* 6. What do you struggle with most when it comes to healthy living? Nutrition, Fitness, Motivation?

* 7. What does a typical day of eating and fitness look like for you?

* 8. Do you currently own any Beachbody programs? And if so which ones?