Jillian Michaels
Hey — I’m psyched that you’re here!
I just need to ask you a few personal questions before we get started. The more
honest you are, the more effective my advice will be.
1) What do you want from my program?

2) How often do you exercise now?


3) I know exercising is not easy. But which cardio activities do you enjoy (or at least don't hate)? (Check all that apply.)



4) Which body type most closely matches yours?





5) Which type of foods do you crave? (Sugar is not listed, because we all crave it when we're tired and run down!)


6) Are you an "emotional eater?"


7) Do you have any of the following injuries? (Check all that apply.)




8) What health topics interest you? Privacy Guarantee    Privacy Guarantee
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ADHD
Allergies
Alzheimer's Disease
Anxiety
Arthritis
Asthma
Beauty
Bipolar Disorder
Cancer
Children's Health
COPD
Depression
Diabetes
Digestive Conditions
Fibromyalgia
Headache
Heart Disease
Hepatitis
High Blood Pressure/Hypertension
High Cholesterol
Incontinence/OAB
Menopause
Multiple Sclerosis
Osteoporosis
Pain
Pregnancy
Sexual Health
Skin Conditions
Sleep Disorders
Smoking Cessation
Vision Care
Weight Management
9) Please confirm your details...
Height: ft  in  
Your Age:
Weight: Gender:
Goal Weight:  
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"Let me be your trainer and life coach. Let me program you against failure."
"Your dreams are not yours by accident. It's your job to make them come true. And I'm here to help you do it."
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Photographs of Jillian: ©2009 Joseph Puhy www.puhy.com

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