SOC

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What's your name?* This field is required.
First Name
Last Name
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What's your email?* This field is required.
example@example.com
3
Phone number!If we are overloaded with DM’s, we will reach out via text!
Please enter a valid phone number.
4
How did you hear about our services?* This field is required.
Facebook
Instagram
Tik Tok
YouTube
Friend
Other
Podcast
Other
5
Where are you located? (Country)* This field is required.We now work with clients worldwide!
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What state do you live in?* This field is required.
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Please provide your Instagram username (@username) or Facebook profile link (https://www.facebook.com/username):* This field is required.I will personally reach out to you if you qualify! Check your message requests or spam, it will likely go to the requests folder!
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Which of the following have you tried? Check all that apply!* This field is required.
Keto
Peloton At Home
WW
Noom
Optavia
Tonal
Personal Trainer
Fasting
V-Shred
Beach Body
Atkins
Advocare
Whole30
Group Exercise
Orange Theory
Other
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What's your age?* This field is required.(Must be 30 or older!)
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Are you looking to lose more than 25 lbs? If not, we might not be the best fit for your goals. However, we'll still share some helpful resources through our conversation, so feel free to finish this form.
Yes! I need to lose +25 lbs.
No.
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Are you interested in a solution for hormone imbalance?
Yes! I'm interested!
I'd like to know more.
Not right now.
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How long have you been following Maverick & Kait?
Just now.
A couple months.
6 months to a year.
More than a year.
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What is your occupation?* This field is required.
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On a scale of 1-10, how important is this to you?* This field is required.
1
2
3
4
5
6
7
8
9
10
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What in particular stands out about this coaching program? We have 15,000 applicants & a coaching team that pours their heart into each client, tell us why you REALLY want this!* This field is required.
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Every woman you've seen in our transformation photos had a moment/breaking point where they decided enough is enough. Tell me, how would you feel if nothing changed moving forward?* This field is required.
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If this program is what you're looking for and you feel it is the solution to your problem for the rest of your life, how much are you able to invest in yourself at this moment?
I can´t invest in myself right now.
$300-$499/Month
$500-$999/Month
$1,000-$1,499/Month
I´m absolutely committed! The investment is not an issue if the program can solve my problems for the rest of my life.
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If your application is approved, you will probably hop on a call with Maverick! Are you the final decision maker, in regards to investing for your program? If you need someone else to make the decision with you, please have them on our call.* This field is required.
YES, I can make the final decision!
NO, I will have my partner on the call with me.
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Do you have any other questions or want to tell me anything else about you?
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Unique ID
Should be Empty: