4 Week Gut Protocol and/ Hormone Health Info Form
Thank you SO much for your interest in Gut Health or Hormone Health.. or BOTH!! I am so excited that you even made it THIS far, which means you are serious about making your health a priority, finding out more about what a healthy gut or hormones mean for you, and you are ready to do the DANG thing! Nothing would make me happier than guiding you through this and cheering you on along your journey! Please fill out this form below so that I can get to know you better, answer all the questions you have, and give you the info you need! Now, let's get to feeling your best!
Name
*
Email
*
example@example.com
What is the number one reason you want to know more about gut health or hormone health?
*
Tell me a little about you. What is a typical day in your life? (i.e. job, kids, travel, etc.)
*
What are your barriers (excuses) to following a nutrition/workout program?
*
Time. "too busy"
Money. "too expensive"
Lack of support. "none of my friend/family care about a healthy lifestyle"
Commitment. "don't stick to things well"
Motivation. "don't feel like it"
Other
What is your past experience with health and fitness? How often do you currently exercise?
*
What statements best describe what you are looking for in gut/hormone health? Check all that apply.
*
Weight loss
Nutrition help (no diets)
More energy
Better digestive system
Help with cravings or snacking
Community of support
Hair/skin/nail health
Detox
Immune Support
Mental Health Support or Stress Management
Just more info
Support while getting off birth control or trying to balance my hormones better
Other
Do you currently, or have you in the past used BODi programs?
.
If yes, do you have a coach?
Country
*
USA
UK
Canada
France
Would you want more information on how you can work on your journey, share it with others, and make an additional income on the side?
*
Definitely!
Maybe in the future
Not at the moment
Remember, Beachbody gives you all the tools to make health and fitness a LIFESTYLE, no quick fixes or magic here! Let's work together so you can start striding to those goals and dreams!
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