HOME - Peter Smanjak

Section 2: Participation Preferences

Personalized coaching includes analysis of a blood panel and a root cause assessment to determine what you need to work on in an order of priority to achieve your goals. This also includes nutritional planning, supplement protocols, fitness program and more.

On a scale of 1-10, rate your interest to participate in an executive health transformation challenge?

Not interested Extremely interested
0	1	2	3	4	5	6	7	8	9	10

On a scale of 1-10, rate your interest to reverse the age clock by 10-20 years?

Not interested Extremely interested
0	1	2	3	4	5	6	7	8	9	10

Can you commit to a 6-month program dedicated to improving your health?

Yes

No

Maybe

If you did take up this challenge, would you prefer to:

Do it on your own

Receive personalized coaching

Section 2: Challenge Interest and Goals

Have you participated in any health or fitness challenges previously?

Yes

No

Do you think that an executive/professional online dashboard would serve participants of the challenge to enhance motivation and reward?

Yes

No

Would you like to see prizes for the top achievers?

Yes

No

Section 3: Medical and Health Tracking

For the challenge, everyone will need to undergo a few medical tests to determine their baseline and the change that takes place during the challenge. This information and data are highly confidential and will only be available to the medical professionals and judge's of the challenge.

When last did you undergo a full executive blood panel assessment?

Within the past 12 months

Between 12-24 months ago

Longer than 24 months

Within the past 5 years

Never

Would you be comfortable undergoing a full blood panel and having your results reviewed by a functional medical practitioner and a report generated for this challenge?

Yes

No

Maybe

Section 5: Value and Investment

As this is an exclusive on-invitation-only challenge due to the limited number of participants, what would you suggest the investment is set at?

What should the maximum personalized coaching fee month be for this challenge?

Between R1,000-R3,000

Between R3,001 - R6,500

Between R6,501 - R9,500

None of the Above

Section 6: About You

Please let us know about the following.

What is your profession?

If other, indicate your profession.

Country

Section 7: Indicate Your Interest

If you are interested to be invited to participate in the Executive and Professional Health Challenge 2024, let us know below.

First Name

Last Name

Email

Thank You for completing this survey. Should you have any further comments, we welcome them below and will get back you with a response if required. By submitting, you agree to our privacy policy and understand that you may be contacted regarding the health challenge.