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  1. Surveys
  2. 2014
  3. January
  4. D
  5. Data Gathering of Weight Control Prospect
0%
Exit Survey
 
 
Hello:
You are invited to participate in our survey [Weight Control & Wellness]. In this survey, approximately [50] people will be asked to complete a survey that asks questions about [How we can assist you make your wellness goals come true]. It will take approximately [5 mins] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Olatunde Adeniran] at [+267-71672840] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
* How did you come to know about our services?
 
Flyer
 
Newspaper Advert
 
At our presentation
 
A friend/family member
 
Social Media like Face Book
 
Other(please specify
 
 
 
 
* Which of the following items are of interest to you? Please indicate any other issue of interest in the "others" section of this question.
 
Weight/Fat Loss
 
Weight or Lean Muscle gain
 
Energy Gain
 
Healthier Self
 
Lose/Gain weight or Fat in some segment of my body(please give details in the "others" section of this question.
 
Maintain Weight
 
Develop Muscles/ Body Building
 
Other
 
 
 
 
* Kindly state up to three major reasons (you can include health or work related challenge(s) if need be) why you want to make the above named items a reality? Kindly also give us a time limit you want to set to archive each of your objective(s). Can you be more specific as to how much weight/fat/muscle etc you want to lose or gain?
   
 
 
 
If you have tried in time past to face your current challenge but did not make it, kindly let us know what you tried and why you did not make it. Please try to be as truthful as possible as we do not want to repeat past mistakes. Also let us know the negative and positive lessons you got from the experience.
   
 
 
 
* Committing to a lifestyle transformation for a better you require a lot of guts, time, efforts and money. How will you rate your commitment to making things happen for the better in sustainable way?
 
Am prepared to give it my best shot
 
Am just curious about what your company have on offer. Am not ready to commit now.
 
Will like attend more of our presentations
 
Will like to invite you to make further presentations at our office/home.
 
Am not interested
 
Am not sure of what I want now. Need more time to think about this.
 
Other
 

 
 
 
* Kindly provide us with your full names, email, cell phone(indicate if you are on what's up), facebook names. If you are on skype, also include same.
   
 
 
 
Will you like to recommend us to your friends to at least do a body scan or give a presentation to them? If so, kindly give us their full names, email, phone numbers. You can also give them this link address so they too can give us their own information which would be used to assist them.Thanks