LesiFit Health & Fitness Coaching

1
What is your full name?* This field is required.
First Name
Last Name
2
Phone Number?* This field is required.
Please enter a valid phone number.
3
What is your instagram handle?* This field is required.
4
How old are you?* This field is required.
5
What are your health and fitness goals?* This field is required.
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6
How long have you been struggling with this for?* This field is required.(number of years/months)
7
What changes do you want to see to feel like the program has been successful?* This field is required.BE SPECIFIC
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8
Why are you applying to work with me & join LesiFit?* This field is required.
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9
From 1-5, how satisfied are you with where you’re at right now?* This field is required.
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I'm fine where I am
I'll do anything to reach my goal
10
Are you financially ready to invest in coaching so that I can help you become the best version of yourself?* This field is required.
I'm ready & committed -- finances are not an issue
I'm a bit tight for money right now -- but if the program can guarantee results, I'm in
I can't afford it
11
What is your best email address?* This field is required.
example@example.com
Should be Empty: