Robin Renee Wellness Application Form
Robin Renee is the Wellness Coach that supports women in creating a life they love in a body they love from anywhere throughout the world, in the comfort of their home. Unlike others, Robin Renee provides a customized and holistic approach to Fitness and Nutrition because only she is committed to having you ditch the food drama without letting go of all of the foods you love.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Age
*
Regarding achieving your goals, what do you feel you need the most support with?This question is required.
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Healthy Weight-Loss
Graceful Aging
Pre/Postnatal
Building Strength
Why is it important that you achieve these goals?This question is required. *
*
What is currently keeping you from acheiving your goal?This question is required. *
*
Do you want my guidance in achieving your health and wellness goals?This question is required.
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Yes Please!
No.
I have a concern...
Will you commit to following the 3-Month or 6-Month Program that I provide to you to achieve your health and wellness goals?This question is required.
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Yes
No
Your time is extremely valuable and does not deserve to be wasted. I am willing to commit to your success only if you are ready to make a commitment/ investment in yourself. Are you ready?
*
Let's Do it!
No.
Submit
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