RFN Application

1
What's your full name?* This field is required.
First Name
Last Name
2
What's your IG handle if applicable?* This field is required.
3
What's your email address?* This field is required.
4
How did you hear about me or RouxFit & Nutrition?* This field is required.
Instagram
Facebook
Referral
I know you personally
5
Please briefly explain what you hope to achieve during our time together* This field is required.What are your goals?
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6
On a scale of 1-10, how committed and ready are you to reaching your goals?* This field is required.
7
What areas do you struggle with the most?* This field is required.Nutrition, Training, Accountability, Consistency, etc
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8
The purpose of this call is to figure out if you're a good fit for RouxFit & Nutrition. Part of that is knowing if you're ready to make an investment in yourself. If you are not ready to make an investment at this time, that's okay, but this likely won't be a good fit for you right now. We work with individuals who are 100% ready to invest. If you are accepted and in 6 months I told you could lose the unwanted fat + keep it off, build confidence & habits, and gain the knowledge that can sustain you for the rest of your life, would you be willing to invest $375-$600/month to have these life-changing results? (Please note, we offer payment plans and are willing to work with you on this.)
I have the means/finances to invest in my health
I'm willing to investing if I know the program will provide results
I'm not in a position to invest in my health
9
What's your cell number?
Please enter a valid phone number.
10
Do you need to discuss this investment with your significant other before making a commitment?
No, I have my own finances/their support
Yes, they need to be involved
11
Were you referred by anyone?* This field is required.If so, please include their name so we can properly thank them! :)
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