New Client Application Form
Client Details:
Full Name
*
First Name
Last Name
E-mail
example@example.com
What is your main health goal
*
Please Select
Fat loss
Build muscle
Overall health and wellness
Other
What is your biggest obstacle when it comes to achieving this goal
*
Please Select
I don't know where to start
I've hit a plateau and feel stuck
I am looking for more support and accountability
Other
What is your current activity level
*
Please Select
Light
Moderate
Active
Very active
Other
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How committed are you, on a scale of 1-10, to making your goals a reality?
What is important to you about achieving this goal now?
Have you tried other methods to achieve your health goals in the past?
No, this is all new to me
Here and there
I've tried them all
Are you ready to take full responsibility for your health and results and to allow me to hold you to a higher standard in order for you to do so?
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There's nothing I love more than connecting with women so I can know exactly how I can help you reach your goals and what program may be best suited for you. Would you like to book a connection call?
Absolutely, let's do this!
Not at this time
Would you like to join our email list to be the first to know about any upcoming giveaways, early bird pricing on new programs plus my favourite fitness and nutrition tips and tools? You can unsubscribe at any time.
Yes, please! I love being in the know!
Not at this time
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