1:1 - Fitness Goal Roadmap

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What is your full name?* This field is required.
First Name
Last Name
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What is your best email address?* This field is required.
example@example.com
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Are you motivated and committed to achieving results and finally reaching your weight or fitness goals? * This field is required.Select ONE (1)
Yes -100%Maybe, not sure. . . sorta!
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What is it that motivates you? * This field is required.Select all that apply
My confidence will go up!
I have an event this year, and I want to look smokin'
I want to be healthy for my kids/family
I have a medical condition that will improve if I lose weight.
I want to be able to shop anywhere and wear cute outfits.
I seriously need to get bathing suit ready
I feel tired and sluggish
I'm doing this for ME and me alone
Other
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Do you have any health conditions that prevent you from exercising?* This field is required.
YESNO
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So tell me, which of these have you tried? Select ALL that apply. This will help me understand the journey you have been through so that we can avoid future pitfalls. If you haven't tried any of these, you can skip this question.
Cutting Carbs
Keto or Paleo diets
Weight Watchers
Home delivery of diet foods
Shakes
"Magic" pills that promised to work
Noom (or similar apps)
Gym membership or home gym equipment
Cutting calories
Eating more protein
Intermittent fasting
Worked 1:1 with a Health Coach
Therapy/Counseling
Hormone Therapy/Supplements
Other
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Please rate on the scale truthfully (1=Poor to 10=Excellent)The lower the score would indicate areas that you are suffering with the most.
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Overall energy levels
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Mood
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Overall energy levels
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Strength/fitness
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If you had 3 wishes for your dream body, lifestyle or fitness level, what would they be? Example: I wish I was 20 lbs. lighter, I wish I was more toned, I wish I had more energy, I wish I knew how to eat healthier without feeling hungry . . .
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What are your top 2 objectives for your fitness goals?* This field is required.Please only select 2 options below
I want to lose weight
I want to tone up
I want to gain muscle
I want to have more energy
I want to create better habits
I want to get back into a routine
Other
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How soon would you like to reach your goal and have these wishes be a reality?
In the next 30 days
In the next 90 days
In the next 6 months
In the next year
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What are the top 3 questions you would like to have clear solutions for during our call?
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If you don't mind gifts, please share your mailing address
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Once you hit submit, you will be directed to my calendly link. If there is anything else you would like to add or questions that you have, please feel free to jot them down in the box below. If not, go ahead and hit the send button!
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Book a VIP Call with Me for your Fitness Goal RoadmapWe will focus on the goals you want to achieve, and calculate a plan that works for you.
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