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Are you over the age of 18+?
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What is your first and last name?
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First Name
Last Name
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What is your phone number, including area code?
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This is the number I will be reaching out to you on.
Please enter a valid phone number.
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What is your email address?
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So you can receive the calendar invite for our meeting
example@example.com
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Where did you find out about me?
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Tiktok
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What is your IG/TikTok handle?
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So I know which DM thread is you!
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What is your #1 struggle with your fitness or health?
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What is making you uphappy?
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What is your #1 health/fitness goal?
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What is your ideal physique / how many lbs do you want to lose?
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What is your occupation?
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So we can gauge how active you are.
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What's your age (35 y/o), height (e.g. 5'4"), and weight (lbs)?
So we can figure out your stats.
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Are you interested in coaching help
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Just here for free resources
I'm only interested in budget friendly options
My goal would be great to reach, but it's not all that important, and I'll survive if I don't get there
I am 100% committed to achieving my goals and ready to invest in myself.
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12
How much have you invested in your fitness and health so far?
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Including personal training, coaching, supplementation, and if applicable, non-routine medical attention.
$0 - $249
$250-$499
$499-$999
More than $1000
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How much would you be willing to invest in your fitness and health moving forward?
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$0 - $249
$250-$499
$499-$999
More than $1000
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This call is designed to help me get clear direction, and I value your time as much as I value my own time.
Can you confirm that you will be: In a quiet, distraction-free environment Logged into the Zoom meeting on time Not driving or multitasking Able to be fully present for the entire meeting?
Yes, I will be fully present and undistracted for this call.
NO
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Consent to Contact, Marketing, and Liability Waiver By submitting this form, you acknowledge and agree to the following: You expressly consent to be contacted by Coach Sean and PEAK Physique Coaching LLC via email, phone call, text message (including SMS and MMS), direct messages, and other electronic communications for the purposes of providing coaching services, scheduling consultations, delivering free resources, and marketing or promoting related products and services. Message and data rates may apply. You understand that consent is not a condition of purchase and that you may opt out of marketing communications at any time by following the unsubscribe or opt-out instructions provided.
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I consent to the above
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