1:1 RN Body Breakthrough Application (9.23.24)

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Are you a Nurse ready to transform your body and sustain it forever?* This field is required.If you are NOT a nurse -- please do not continue.
YESNO
2
Awesome! It's our mission to create 1,000 Super Nurses™ and impact 10 million patients' lives.Press Right Arrow → to Continue
3
How much weight are you looking to lose and sustain?* This field is required.
Less than 10 lb.
10 - 50 lb.
50 - 100 lb.
100 lb or more.
4
What have you tried in the past to lose the weight and sustain it?* This field is required.Select all that apply then press the NEXT Arrow →
Keto
Weight Watchers
Personal Trainer
Nutritionist
Whole 30
Sugar Free Diets
Big Box Gym
Boot Camps
Intermittent Fasting
Tracking Macros
Online Coach
Optavia
Ozempic
None of the above
5
We marry the science of weight loss with behavioral psychology so you can create habits without relying on willpower. Is sustainability important to you?* This field is required.
YESNO
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Sustainability is KEY! Human nature is to avoid pain, gain pleasure, and conserve energy. Your plan to transform your body MUST account for this. Relying on willpower is NOT the answer for Sustainability.Press Right Arrow → to Continue
7
How committed are you to solving this problem today?* This field is required.
5/10 - It's not that important. I don't really care to improve my situation that much.
7/10 - I am pretty frustrated with things right now, and want to get them sorted.. the sooner the better
9/10 - This is effecting my confidence, energy, and how I am showing up in life. I want to fix this ASAP!
10/10 - I will literally do anything to get this situated, I don't want to go on one day longer without a sustainable, healthy, long term program that will improve my body and make me feel better.
8
Would you benefit from the 1:1 expertise, accountability and support of a 10 year+ experienced coach?* This field is required.who has helped hundreds of women lose weight and sustain it.
YESNO
9
Great! Our coaching team has 98 years of combined experience helping women transform their bodies and lives for good.Press Right Arrow → to Continue
10
Where do you want to be 6-12 months from now?* This field is required.Select all that apply then press the NEXT Arrow →
I want to have energy and feel like an active participant in my life instead of just a spectator.
I want the ability to walk into the store, pick anything off the shelf and know it's gonna look dam good!
I want the peace of mind with having a body I am proud of.
I want to be certain I am on a path of health and longevity.
I want to implement the habits that will allow me to sustain my weight loss for life.
I want to be a better role model for my kids and family.
I want to have the confidence to improve my intimacy with my partner
Other
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Are you currently employed AND can show a valid nurse ID card?* This field is required.
YESNO
12
What is holding you back from achieving these goals?* This field is required.Select all that apply then press the NEXT Arrow →
I don't believe that what I've done in the past for results will work now.
I know what I need to do, and think it'd work, but always find myself off the wagon and back to square one.
I just don't know where to start and am overwhelmed with all the options.
I have a hard time committing and need some element of accountability and support.
I don't have a community or people around me who think like me and can support me.
I don't have any expert coaches, or advice that helps me get back on track.
Other
13
Are you ready to invest in yourself financially to build lasting habits, a healthy lifestyle, and get the body and life you want?* This field is required.If you knew with 100% certainty that you would get there.
YESNO
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On this call, we'll provide you the 12 Week RN Body Breakthrough Blueprint, help identify what obstacles have stopped you in the past, and create a plan to help you overcome them.Press Right Arrow → to Continue
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Full Name* This field is required.To Continue, Press the Next Arrow →
First Name
Last Name
16
Email* This field is required.To Continue, Press the Next Arrow →
example@example.com
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Mobile Phone Number* This field is required.Press Submit 🙌
Please enter a valid mobile phone number.
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