Plateau Breaker Survey

1. Email Address (due to network issues use an email that is not @aol.com, also make sure to double check spelling!) This question requires a valid email address.

2. Age This question requires a valid number format.

3. Height (INCHES) This question requires a valid number format.

4. Weight (LBS) This question requires a valid number format.

What are your expectations going into the 15 Day Plateau Breaker Program?

5. What results would you like to see?

6. What is your current fitness routine (if any)?

7. What are your current eating/nutrition habits?

8. Are you currently supplementing your diet with a protein shake or protein supplement? If so, which one?