You Are One Step Closer To Getting Healthier! Please Fill Out The Application Below.
Full Name
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Date of birth
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We currently work with ages 24 and over.
State
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Just to confirm, you're filling this out because you want to lose between 10-25lbs of stubborn fat, regain energy, optimize hormones, build lean muscle & make this the LAST COACH you'll ever need?
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Yes - I'm serious and want to learn how to build my dream body without sacrificing my life.
No - I'm all set, going to leave to leave this page immediately.
What are your main goals right now?
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Lose body fat
Build muscle / tone up
Improve confidence
Feel better in my clothes
Increase energy
Get back into a routine
Improve overall health
Select all that apply.
Or something else?
other details.
How long have you been trying to improve these areas of your life?
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Less than 3 months
3 to 12 months
1 to 3 years
More than 3 years
Select the best option.
What do you feel you're struggling the most with right now?
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Staying consistent
Knowing what to eat
Lack of structure / routine
Time management
Motivation coming and going
Plateau / not seeing results
Gym confidence
Doing it all alone
Stress / information overload
Select all that apply.
Other/more ?
Enter any details you feel necessary.
Which of these feels the most accurate right now?
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I know what to do, I just struggle to stay consistent
I start strong but fall off
I feel stuck and unsure what is missing
I've tried a lot of things that didn't last
I'm motivated but need structure
I feel overwhelmed and don't know where to start
Pick the best 2 options.
What's been your biggest frustration with your health/fitness so far?
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Just help me understand you a little more.
What does a typical weekday look like for you at the moment?
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Example: busy work schedule, driving all day, kids, stress levels, daily routine, sitting down for hours on end, on my feet running around, etc.
What usually tends to throw you off the most in your life lately?
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Busy work schedule / time constraints
Stress or mental overload
Family or personal responsibilities
Motivation drops after a while
Losing structure / routine
Social events, travel, or weekends
Select all that apply.
Missing something else?
List any other important details.
How is this affecting your day to day right now?
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Example: mood, energy, inability to focus, no control over time, fleeting confidence or motivation, social life, clothes not fitting right, etc.
How important does making real change in these areas feel right now?
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1-2
3-4
4-5
6-7
7-8
9-10
1 = Not important at all 10 = Extremely important
What do you feel is the biggest struggle holding you back from your goals at the moment?
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Help me understand where you could use the most support to conquer this journey together.
If you had the right structure, guidance, and support, how soon would you want to get started?
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Immediately
Within the next 30 days
Within the next 2-3 months
Just exploring options right now
Pick the best one.
Which best describes your situation right now?
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I'm ready and able to invest into a high-level coaching program if it's the right fit
I could make it work if I knew this was the right fit
I'd need to explore other options or plan for it
I'm not in a position to invest right now
Pick the best one.
Do you have a significant other? If so, are they supportive of you potentially investing into your health/fitness & personal growth?
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Yes, I have a significant other and they're supportive AF!
Yes, I have a significant other, but this is my decision to make.
Yes, I have a significant other, and they may need to be on this call with me to make a joint decision.
Nope, I'm single AF and make my own rules, lol
Pick the best one.
Email
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Preferred email address so we can hook you up with some free resources after our strategy session!
Instagram
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Please type your IG username
Phone
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No we won't and do not want to spam you lol.
Please confirm your phone number. (it's important this is correct, so that we can confirm your application + help you lock in your appointment for your free strategy session)
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We Will Review Your Application And We Will Be In Touch For Next Steps.