PROGRESS FORM

Full Name

Best Email

Age

On a scale of 1 to 10 where are you at now compared to before you started the Program

Physical stamina before the Program out of 10

Physical stamina after the Program out of 10

Mindset before joining the Program out of 10

Mindset after being in the Program out of 10

What are three major wins, or breakthroughs you have had over since working with us?

What would you rate the Program out of 5 over all?

1

2

3

4

5

What would you say to someone who had CFS and did not know about this Program?

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