Name

(You can remain anonymous if you'd like!)

First Name

Last Name

Section A: Barriers to Working Out and Eating Clean

1. What are the main reasons that make it challenging for you to work out regularly or maintain a clean eating routine? (Select all that apply)

Lack of time

Lack of motivation

Difficulty in sticking to a routine

Lack of knowledge about effective workout or nutrition practices

Financial constraints

Health issues or physical limitations

Other (please specify)

2. If you have attempted to start a workout routine or eat clean in the past but quit, what were the primary reasons for discontinuing? (Select all that apply)

Lack of visible results or slow progress

Feeling overwhelmed or discouraged

Difficulty maintaining consistency

Unsupportive environment or lack of accountability

Insufficient guidance or resources

Unrealistic expectations or setting unattainable goals

Other (please specify)

4. At Self Sustained Training, we strive to provide comprehensive support on your journey towards a healthy lifestyle. Which of the following forms of support or resources do you believe would be most helpful to you? (Select all that apply)

a) Personalized workout plans or nutrition guides

b) Accountability partners or support groups

c) Access to knowledgeable fitness/nutrition coaches

d) Engaging and interactive fitness apps or platforms

e) Educational materials or workshops on healthy living

f) Regular progress tracking or goal-setting tools

g) Other (please specify)