vShred | Metabolic Assessment Session | Broad PFB Now Broad Funnel

What’s your biggest fitness goal in the next 90 days?* This field is required.This will help you assess your current situation.

Lose fat

Build muscle

Get toned

What’s your biggest fitness goal in the next 90 days? - old* This field is required.

Lose fat

Build muscle

Get toned

How many pounds/kilograms you want to lose in the next 90 days (if any)?* This field is required.

I'm not looking to lose weight

1-10 Pounds / 1-5 Kilograms

11-20 Pounds / 5-10 Kilograms

21-30 Pounds / 11-15 Kilograms

31-40 Pounds / 16-20 Kilograms

41+ Pounds / 21+ Kilograms

What’s your BIGGEST motivation for getting in shape?* This field is required.

I want to look more attractive to others

I want to feel more confident in my own skin

I want to look amazing for an upcoming vacation/wedding/special event

I want to be healthier

I want to like what I see in the mirror

When was the last time you’re successful at losing weight, and what did you do?* This field is required.

I was tracking my calories

I was working with a personal trainer

I was on keto or low-carb diet

I haven't been successful at losing weight yet

How many diets have you tried in the past 12 months?* This field is required.

None

1 diet

2 different diets

More than 2 different diets

How often do you work out?* This field is required.

I don't work out yet

Once a week

2-3 times a week

4-6 times a week

More than 6 times a week

Do you tend to crave more sweet foods, salty foods, or both?* This field is required.

I crave sweet foods

I crave salty foods

I crave both sweet and salty foods

I don't have any cravings

Have you ever tried cutting carbs or doing keto? (Keto and low carb isn’t for everyone, we just want to know if you’ve been through any cycles of this type of diet plan because it can affect your metabolism!)* This field is required.

Yes

Have you noticed you get tired after eating meals?* This field is required.

Yes

To help us customize your main takeaways from the metabolic assessment around your schedule and priorities, which of these best describes your current occupation?* This field is required.

Student

Entry-level Employee

Management

C-Suite Executive

Self-Employed/Business Owner

Retired

What’s usually harder for you: Sticking to a diet plan or consistently working out?* This field is required.

Sticking to a diet plan

Working out consistently

What's your MONTHLY household income in USD?* This field is required.

Less than $2,000 per month

$2,001 - $3,000 per month

$3,001 - $5,000 per month

$5,001 - $8,000 per month

$8,001 - $10,000 per month

$10,001 - $20,000 per month

More than $20,000 per month

Are you willing and able to invest in our brand new V Shred Accelerator program if we can help you accomplish your physique goals in 90 days or less (guaranteed results, or your money back)* This field is required.

Yes, I can invest if there's a fit during the call.

No, I cannot invest right now.

Please share if you have any of the following conditions. This will help us determine if we are qualified to help you at this time (check all that apply. Your information will be confidential):* This field is required.

High Blood Pressure (untreated)

Asthma (severe)

COPD

Parkinson’s Disease

Dementia/Alzheimer’s

Motor Neuron Disease

Metabolic Myopathies

Chronic Obstructive Pulmonary Disease

Chronic Kidney Disease

Systemic Lupus

Cystic Fibrosis

Open Heart Surgery (post-op)

Torn Ligaments/Tendons/Tissues

Uncontrolled Tachycardia

Late Stage MS or other neuromuscular degenerative diseases

Spinal Stenosis

Schizophrenia

Undergoing Chemotherapy/Radiation

None of the Above

Are you in good health to be able to walk for at least 30 minutes?* This field is required.

YESNO

Please type in your FIRST name below:* This field is required.

Please type in your FIRST name below - Formatted* This field is required.

Please type in your LAST name below:* This field is required.

Have you taken weight loss medication (e.g., Ozempic or semaglutide, Tirzepatide, etc.) before?

Yes.

I am currently taking weight loss medication (e.g., Ozempic or semaglutide, Tirzepatide, etc.)

No.

No, but I've been prescribed weight loss medication.

No, but I have interest in taking it.

Have you ever taken any of the following substances to aid in weight loss or performance?Kindly select all that apply

Hormone Replacement Therapy (HRT) (e.g., estrogen, testosterone, or other hormone replacement)

Ozempic (Semaglutide)

Tirzepatide (Mounjaro)

Peptides

I have never taken any substance for weight loss or performance

Other

What's your gender* This field is required.

Male

Female

How old are you?* This field is required.

18-24

25-34

35-44

45-54

55-64

65+

Hey {firstname}! Nice to meet you. What's your email?* This field is required.

Hey {firstname}! Nice to meet you. What's your email?- old* This field is required.

example@example.com

Where do you live?

Last question: what's your mobile phone number?* This field is required.Do not add country code

This is your final step for submitting your Metabolic Assessment. By checking this box, you are providing express written consent to receive email, voice and SMS communication from V Shred about your assessment and results. You have the right to revoke this consent at any time. To do so, please click the unsubscribe link in our emails, reply ‘STOP’ to any text message you receive from us. You also acknowledge you are not required to provide this consent as a condition of purchasing any goods or services from V Shred.* This field is required.Privacy policy Terms and conditions

Yes, I acknowledge and confirm the terms and conditions above.

Date* This field is required.

Date

Hour

Minutes

Date

Today's date + 90 days

Final question, what's your mobile phone number?Please, do not add any "+" signs or "( )" between characters.

Country Code

Area Code

Phone Number

Household Income Score

User Agent String

Get visitors location

Get visitors location calculated field

Current Time

Hour

Minutes

International Unqualified