The 3 Minute Executive Female Fitness Survey

Are you someone of the feminine persuasion who directs the business of your company?
If so, you are entitled to a FREE GIFT by helping me collect data for an article!

To Receive Your FREE "Hope's Journey" e-Book Gift, Fill Out Every Question Below.
Please...even if you don't exercise at all, and/or consider yourself obese, your response is still very important (and confidential).
Your name:
Your e-mail:
Enter this information only if you want the FREE e-Book and a copy of the article when it is written.
Otherwise, leave it blank to remain anonymous.


Your position: Director Vice President President Executive Officer
Your total weekly workhours: Less Than 40 40 to 60 More Than 60

How many days/week you exercise: 2 or Less 2 to 4 More Than 4
How many years you've exercised regularly: Less Than 1 1 to 3 More Than 3
Forms of exercise: Pilates Aerobics Yoga Weight Training
Do you use a Personal Trainer? Yes No
If so, how many days per week? 2 3 to 4 More Than 4

Do you contribute any of your success to your appearance? Yes No
How old are you? Less Than 30 30 to 40 40 to 50 Over 50
What does your waist measure in inches? Less Than 30 30 to 40 40 to 50 Over 50
What do your hips measure in inches? Less Than 30 30 to 40 40 to 50 Over 50
Would people say you have a sculpted body? Yes No
What dress size are you? 2-4 6-8 10-12 14-16 18 or Higher


Which of these statements apply to you pertaining to food and how you eat?
  • Water is my drink of choice.
  • I regularly eat fast food.
  • I regularly eat low-carb.
  • I regularly eat low-sugar.
  • I regularly eat low-fat.
  • I regularly eat 3 or more vegetables.
  • I regularly drink sodas.
  • I regularly eat sugar sweets.
  • I regularly use high-protein supplements like bars and shakes.
Has a registered dietician ever developed meal plans for you? Yes No
Do you use prescription or over-the-counter diet pills? Yes No


Thank you for your participation! If you've provided your contact information, I'll send you your FREE e-book and the article, once it is written.