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KB KUTS Application
1
To confirm, you're filling this out because you want to lose fat, build muscle, and optimize your health while finding a permanent solution to living a healthier lifestyle?
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Yes, I am serious and want to learn more.
No - I am going to leave this page immediately
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Full Name
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First Name
Last Name
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3
Email Address
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example@example.com
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4
Phone Number
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Please enter a valid phone number.
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5
What is your biggest frustration with your body right now?
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Example: “I’m struggling to lose belly fat” or “I’ve been working out but not seeing results.”
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6
What is your #1 fitness goal over the next 90 days?
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Example: “Lose 20 pounds, feel stronger, and fit into my old clothes.”
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7
What is holding you back from reaching that goal?
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(Select all that apply)
I’m not sure what workouts to do
I don’t know how to eat for fat loss and muscle
I’ve struggled with consistency
I don’t have accountability or coaching
I’ve tried programs before and didn’t stick with them
Other
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8
What have you tried before to lose weight or get in shape?
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(Select all that apply)
Dieting (Keto, Fasting, Low-Carb, etc.)
Group classes or bootcamps
Personal training
Online workouts (YouTube, apps)
Doing it on my own
Nothing — this is my first time seriously trying
Other
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9
On a scale of 1-10, how committed are you to transforming your body and life right now?
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(1 = not ready, 10 = all in)
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10
Why is now the right time for you to take action and make this change?
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11
If accepted into Kettlebell KUTS, are you willing to invest time, effort, and financially to get the coaching, plan, and support to hit your goals?
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Yes, I’m ready to invest in myself and take action
No, I’m not ready to commit
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12
Do you currently have kettlebells or access to workout equipment?
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Yes, I have kettlebells at home
No, but I’m willing to get some
No, and I’m not sure what to get
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13
Do you have any injuries or limitations we should know about?
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14
How are you approaching working with me?
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I have very limited budget and I'm just looking for free resources/ more info.
I have a limited budget, but if you can promise me results, I'm all in.
I'm not worried about the investment Mike...let's work!
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15
Anything else you want us to know about you or your goals
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16
By submitting this form, I understand this is a high-level coaching program and requires commitment to achieve results.
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Yes, I understand and agree.
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