Gender:
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Marital Status:
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| How many years "young" are you?
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| What are your personal goals that you would like to achieve with Club JNL one-on-one consultations? |
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| What do you feel that is holding you back from achieving your fitness goals? |
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| Do you have a support system now, friends or family
who are helping you and working with you on your weight loss goals? |
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| Are you working with a personal trainer? |
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| What are your favorite exercises? |
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| Are you currently on an exercising program and food plan? |
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| What is your current weight? |
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| How many pounds would you like to lose with Club JNL consultations? |
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| Are your friends helpful and supportive or toxic and hold you back? |
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| Do you have what I call a “fan club”, a team of people who support you and want you to succeed, improve, and grow upwards? |
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| Do you enjoy your current job? |
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| Do you have enough energy, stamina, and endurance to last the entire day through? |
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| Do you feel yourself running out of steam by the afternoon, with little to no energy for the rest of the day? |
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| When do your sugar or carb cravings kick in? And what do you find yourself craving in particular? |
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| Do you ever plan on competing in a figure competition as JNL has done (she will cover the 101 basics of competing from suit selection, tanning, dieting down, etc)? |
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| If you are in a relationship, is your partner loving, supportive, and helpful by guiding you to achieve your personal goals? |
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| Do you sometimes feel like your job or friends are “energy vampires” who suck the life right out of you? |
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| What do you feel are your biggest obstacles that keep you from losing your weight? |
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| What are your self defeating, negative self-sabotaging practices and behaviors (emotional eating, not following through with your goals, unhealthy friends, etc) that you feel you need to get rid of? |
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| What are three personal traits that you would like to forever say good bye to? (not exercising, being late to events, sleeping too much, etc) |
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| What are three personal traits and positive behaviors that you would like to start incorporating in your daily life? |
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| What traits and characteristics about your personal story do you feel are different, exceptional, and special that makes you an ideal story to be featured as a weight loss success “celebrity” in my fitness book? |
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| What do you hate most about your body? |
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| What do you love most about your body? |
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| Have you ever worked with a personal life coach or mentor? |
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| Do you feel that you are “coachable” and take direction well? |
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| Are you willing to open your mind to new and different ways of thinking and acting to allow positive changes to manifest in your life? |
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| Are you willing to make the necessary changes and improvements employed in JNL’s VIP Program to better yourself? |
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| Do you take assignments easily and follow through? |
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| Why do you feel like you should be a part of this exclusive and elite members only self improvement consultation program? |
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| Do you have any current medical conditions that hold you back from exercising? |
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| Have you had any serious surgeries in the past 10 years? |
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| If you are a mom, did you deliver vaginal or by C-Section? |
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| Are you currently on any medication? |
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| Have you ever been diagnosed with any mild to sever medical conditions that needed special treatment? |
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| On a scale of 1-10 (1 being not healthy and 5 being average and 10 being super healthy), how healthy do you feel you are? |
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| What would you like to learn most from this self improvement program? |
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| In today’s world with endless jealousy, negativity, and competition, do you HONESTLY feel that you deserve a fitness friend, a “sister”, and a support group to rely on when you feel weak and when you cant achieve your goals by yourself? |
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| Why should you be included in JNL’s “Innercircle” of team members who will together create miracles in their lives? What do you feel makes you and your story special and noteworthy? |
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