Auston Fitness Program Application
**PLEASE READ THIS FIRST** THANK YOU so much for your interest in our coaching program! This is an opportunity to apply for a 10-minute coaching call to help me understand what YOU need to move your health and fitness to the next level! Your time is very valuable, as is mine, and I only speak with highly motivated Ladies who truly want to take their mindset, nutrition, and fitness to the next level. I want to help you make a SUSTAINABLE lifestyle, overcome self-doubt, and learn how to be strong and empowered in every aspect of your life!! I assume that is YOU since you're here and taking the time to fill this out!** IF YOU ARE SELECTED, YOU WILL RECEIVE A TEXT CONFIRMATION AND I WILL CONTACT YOU TO SCHEDULE A CALL** Are you ready to TRANSFORM YOUR LIFE and not only achieve but SURPASS your health and fitness goals?!
Name
*
First Name
Last Name
Facebook Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
If you want to lose body fat, how much do you want to lose?
under 10lbs
10-20lbs
20-30lbs
30-50lbs
Over 50lbs
How long have you been struggling to lose weight?
Never
Under 6 months
12 months
1-2 years
2-5 years
Over 5 years
On a scale of 1-10 how important is it for you to lose weight and keep it off once and for all?
Please Select
1
2
3
4
5
6
7
8
9
10
What is your #1 fitness goal right now? What do you want to accomplish in the next 12 weeks?
What is the biggest obstacle holding you back from reaching that goal?
What sorts of things have you tried in the past to get into shape or lose weight?
What sorts of thing have prevented you from achieving your goals in the past?
Submit
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