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Welcome! Start here to take your FREE Health Assessment
16
Questions
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1
Name
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What you like to be called :)
First Name
Last Name
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2
E-mail
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3
In What Country Are you Located?
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USA
Canada
UK
Other
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4
Where do you live?
(i.e City, State)
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5
What is your instagram handle?
i.e @the_balanced_life_mama
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6
Phone Number
I promise I won't spam you, this is just the easiest form of communication :)
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7
Do you have a coach currently? (Please note this is not for those currently working with a coach or a coach yourself)
*
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No
I had a coach a long time ago, but not currently working with one
Yes, I'm working with a coach
Robin, you are my coach! :)
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8
How did you find me?
Instagram
Facebook
Website
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9
If you knew failure wasn't an option, where would you like to be in 3 months (physically, mentally, emotionally, life goals)
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10
What are your current health, wellness, and/or fitness struggles?
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11
What is your current fitness level?
Beginner (Haven't worked out in awhile)
Intermediate ( I work out a few times a week)
Advanced ( I work out consistently)
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12
Are you currently Expecting, Postpartum, or Planning to get pregnant in the next year?
I often work with prenatal & postpartum moms and strive to customize my plans to whatever season you are in.
Currently Expecting
Recently Postpartum
Planning to be Pregnant
NONE OF THE ABOVE
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13
Have you used BOD (BeachBody on Demand) or do you currently have BOD?
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14
Which nutrition approach do you feel like you would benefit most from?
Structure - You'd be told exactly how many portions of each food group to eat based on your goals.
Flexible - You could make it work even while traveling or eating at restaurants focusing on balance.
I'm not sure
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15
What flavor of My Superfood interests you most?
Vanilla (Vegan)
Latte (Vegan)
Strawberry (Vegan)
Chocolate (Vegan)
Vanilla (Whey)
Latte (Whey)
Strawberry (Whey)
Chocolate (Whey)
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16
Are you interested in a natural plant based pre-workout/energy booster?
Personally, I think it's better than coffee :)
Yes - Lemon
Yes - Mixed Berry
Yes - Fruit Punch
Maybe
Not right now
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