Personal Information

Full Name *

Email *

Phone *

Fitness & Wellness Background

How would you describe your current fitness level? *

Do you currently follow a fitness routine? *

If Yes, please describe *

Have you ever participated in a fitness or empowerment challenge before? *

Please describe your experience *

Goals & Motivation

What is your primary motivation for joining the Women's Empowerment Challenge? *

What are your top 3 fitness or wellness goals for this challenge? *

What has been the biggest obstacle in reaching your fitness goals so far? *

Commitment & Availability

Are you able to commit to the weekly group sessions for the next 30 days? *

Do you have any prior commitments or challenges that could interfere with your participation? *

If yes, kindly explain *

How many days per week can you commit to the fitness and wellness activities? *

Empowerment Focus

What does "empowerment" mean to you, and why is it important in your fitness journey? *

What are you hoping to achieve emotionally and mentally during this challenge? *

Would you be interested in having an accountability partner throughout the challenge? *

Health Considerations

Do you have any injuries, medical conditions, or dietary requirements we should be aware of? *

If yes, explain why *

Why You Should Be Chosen

Why do you feel you’re a great fit for this exclusive Women’s Empowerment Challenge? *

Agreement

I understand that this is a commitment-based challenge, and I agree to fully participate and put my best effort into the program. *

Yes