FUELLED FOR LIFE 2.0 1-1 VIP COACHING APPLICATION (6month)

Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Best Email*
example@example.com
What are your top 3 goals right now? (Choose 3)*

Build Lean MuscleBurn FatLearn about Macros and Flexible NutritionIncrease my Confidence and HappinessNutrition SupportIncrease Energy and StrengthOther
What is your biggest struggle when it comes to nutrition?
How familiar are you with counting macros?

Not at allSomewhat familiarI count them all the timeI've tried it but I don't like it
What symptoms are you experiencing? (Click all that apply)

Low energyBloatingMoodyTrouble sleepingFatigueAcneStressAnxiety
What nutritional programs or diets, support or training have you tried before?
What is your top 3 health and nutrition goals that you would like to achieve over the next 3-12 months? (BE SPECIFIC)*
What are the top 3 things you are struggling with the most when it comes to achieving these goals on your own?*
Why is NOW the time for you to make the change in your life?*
I operate only from a HECK YES in my life, and everything else is a no. If we were to get on a call and it's a HECK YES to work together, do you have the financial resources available to commit on a high level to transform your life or business?*

I have the resources to make an investment to transform my healthI do not have the resources right now but I am highly motivated to come up with itI do not have the resources to invest in my life/business
On a STAR RATING of 1-5...1 being "I'm satisfied where I am" and 5 being "I'll do anything to achieve my goals" What number are you?*
Will you commit to a 1-1 consult call with me?*

HECK YESNO
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