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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Cosmetic Surgery
ADD/ADHD
Allergies
Alternative Medicine
Arthritis
Asthma
Autoimmune Diseases
Cancer
Diabetes
Digestive Health
Emotional Health
Enlarged Prostate/BPH
Epilepsy
Family Health
Heart Health
HIV/AIDS
Incontinence/OAB
Infections
LASIK Surgery
Men's Health
Migraines
Multiple Sclerosis
Pain
Pregnancy
Psoriasis
Senior Health
Senior Housing
Sexual Health
Skin & Beauty
Skin Conditions
Sleep Disorders
Smoking
Vision Care
Weight Loss Surgery
Weight Management
Women's Health
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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