Fitness Goals

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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number
Area Code
Phone Number
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Where do you currently live?* This field is required.For the time being, my program can't ship to anywhere other than the US, UK & Canada. But please put your Country in the "Other" Box and I will let you know when we launch there!
The USA
The UK
Canada
France
Somewhere else
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If you selected somewhere else, what country do you live in?I will let you know when we launch near you!
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Are you currently a Coach or working with one?* This field is required.If you are currently working with a coach, please reach out to them about groups they might be hosting. My groups are only open to non-coaches or those not already working with a coach. Thank you.
No, I'm not a coach or working with one.
I am a Coach.
I have a Coach.
I previously had a coach, but I'm not working with them anymore.
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What are YOUR health & fitness goals?* This field is required.Select ALL that apply.
To Lose Weight
To Tone Up!
To Build Muscle / Strength
To Sleep Better
To Compete in Physique / Bodybuilding Competitions
To Look Good Naked
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What do you do for a living & what is your work schedule?* This field is required.
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How would you RATE your nutrition?* This field is required.
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Very bad!
Perfect!
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What are your mornings like & what do you eat for breakfast?* This field is required.
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Are you a Beachbody On Demand member?* This field is required.
Yes
No
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What do you feel are your biggest obstacles are when it comes to getting the results you want? * This field is required.Select ALL that apply.
I don't know where to start.
I don't have the time.
I lack motivation.
I can't afford it.
I don't have the energy.
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Do you have any previous injuries or surgeries that might make it hard to do a workout move?
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Do you have any allergies? If so, what?* This field is required.Write N/A or none, if you're not allergic to anything.
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What is motivating you to commit to this group? Besides looking & feeling great (because everyone wants that). What is YOUR deeper meaning to having a healthy lifestyle?* This field is required.Don't over think this too much
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Large
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Ok
Ok
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Why do you want to work with me as your coach?* This field is required.
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Ok
Ok
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What type of workout programs are you open to trying?* This field is required.Select ALL that apply.
Cardio
Weight Lifting
Dance
Yoga
Pilates
Martial Arts / Boxing
Low Impact
Couples / Family Workouts
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Do you own any workout equipment at home?* This field is required.I try to save my clients money whenever possible, so it's helpful for me to know what you already own for programs that need some equipment. i.e. yoga mat, dumbbells, etc.
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Lastly, how should I coach you? If I see you're not logging your workouts in the group, what do you need from me as your coach?* This field is required.This helps me understand how much accountability you want
Text or call to yell at me!
Leave me alone. I know that I need check in, I'm probably just busy.
Check in with me... sometimes.
I will never miss a workout.
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This is just ONE example of how the Super Trainers support you in the videos.
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I do NOT charge for my coaching or my groups, but you do need to invest in the program because we will be using it for the group. **** There are a few options, so choose which is best for you.* This field is required.All of them come with a WHOLE year worth of access to my online virtual gym (with over 3,000 workouts), a nutrition guide, meal plans, an invite into my private online accountability community & most importantly, ME as your coach! Then, in addition to all that, select what option you want to customize your pack with:
I want all of that, plus 30 meals of your superfood shake
I want all of the listed above with 40 servings of Pre-Workout (energy boost) and 20 servings of Post Workout Recover which will really help you heal from muscle soreness. (Superfoods NOT included.)
I want all of that listed above with 30 meals of your superfood shake and I want to add on Pre and Post workout.
I already have access to the workouts, but I want 30 superfood meals AND the certification course for the comprehensive nutrition training.
I want your help picking what I need.
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Are you interested in trying out our superfood bars or 3 Day Refresh Cleanse kit?* This field is required.We have Chocolate Peanut Butter and Cherry Chocolate Almond.
Yes, I want to add a box of 15 Chocolate Peanut Butter
Yes, I want to add a box of 15 Cherry Chocolate Almond
Yes, I want to add one of each
Yes, I want to add a 3 Day Refresh cleanse
No, thanks.
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Please verify that you are human* This field is required.
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