I know you’re busy. Are you good to focus for 2 mins & fill this out, so I can actually help?
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Yes, because I'm ready to drop the weight, hormone, confidence, time & money struggle
Not really, I'm just browsing/curious right now
How Long Have You Been Following me ( Casey Shipp)?
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Just Found Her
1-3 Months
6-12 Months
Years, OG Fan Status
Are you ready to fix the root issue so this problem never comes back?
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Yes. I’m ready to fix the root issue so this stays fixed.
I mostly just want to lose weight right now.
What's Your Favorite Swear Word?
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What's happening right now that's making you feel stuck, frustrated, sad, angry, or complacent?
What is your current Height (in feet/inches) + current weight (in pounds):Example: 5’7” 175 lbs
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Regarding your situation, why are you wanting to find solutions/answers NOW? why not 3-6 months from now or when life calms down a bit?
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What concepts, tactics, and mindset strategies in the video/podcast/ad/post made you feel our approach could be the right fit?
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Hearing that the real problem isn’t food or workouts
Realizing my nervous system doesn’t feel safe and that affects everything
The idea that trauma / stress I never dealt with is still running my body
Your directness, no fluff, no BS, no “just try harder, track more, do more” energy
I don't know
If nothing changes in the next 6–12 months, what do you realistically see happening with your body, health, energy, or confidence?
Which of the following best describes your goals? ( select multiple)
I Want success in all areas and is tired of the struggle
Repair Metabolism
Increase Motivation
Hormone balancing for Wellbeing & Enhancing Quality of Life
To end the yo-yo dieting Cycle
To feel & look sexy
To Be Strong AF
Fit In Cute Clothes
What makes you open to Nervous system-led trauma-informed health success coaching? Why is it compelling compared to other options to lose weight, find happiness, and balance hormones online?
Because I'll be able to stop spending money on things that clearly don't work in the long run because they don't address the emotional body, nervous system, hormones and mindset
Because I'm ready to learn how to do things on my own so that the risks of failing become non existent
One stop shop - this can show me how to heal my body, mind, soul, enhance my life experience, become a better parent, build the dream business, or get career advancements and be all around a better human without sacrificing my health, time, or things I love in the process
If this worked, what would actually be better in your life?
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I’d think clearer, show up stronger, and make more money or grow my business
I’d have real energy again, not just pushing through and crashing
I’d feel confident, sexy, and want intimacy again (libido back)
My body would finally respond,fat loss without obsession or burnout
I’d actually enjoy my life, not just survive it
If you begin the nervous system-led trauma-informed approach to body success with me ( Casey), what would be your first health goal? ( select multiple)
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To lose weight
To gain clarity as to why things have so hard for me & feel hopeful
To feel confident, sexy, and want intimacy again (libido back)
To Learn about increasing my emotional intelligence so that I can increase capacity so that I can stop the emotional eating or falling off when my environment or seasons change
To get hormones balanced so I feel energetic, happy, and can sleep well again
If we had a magic wand that would fix ONE thing and that ONE thing would fix everything else, what would that be? (feel better, step into massive clarity, confidence and crush it and feel/look sexy AF)
If I just lost the weight
If I had a safe and EASY way to guide and support me when I'm feeling stressed or overwhelmed, so that I can stay focused and hit my goals faster and actually keep them without going backwards, spiraling or falling off the wagon
Had clarity on exactly what to do every day to get healthy
Got my confidence back
If I had a strong, confident, fit body ( nice ass) with a high libido
How much have you invested in your health and trying to solve this along your journey?
Under $1k
$1k-$5k
$5-$15k
$15k
Over the past 16 years and 3,000+ case studies, this work is best designed for women earning $50K+ annually. Do you meet this qualification?
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Yes
No
What best describes your work right now? (pick one)
Business owner/entrepreneur
Career professional (corporate, sales, leadership, etc.)
I work, but my job drains me
Stay at home parent/caregiver/disabled/retired
What is your occupation? (What type of work do you do? This helps us understand your stress levels.
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Applications are reviewed instantly. Approval unlocks your private fat loss/hormone strategy consult, where we diagnose the real root of stagnation and outline the exact correction plan.
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Got It
No thanks
What's your name?
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First Name
Last Name
Best email for next steps + access:
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Confirmation Email
example@example.com
Best US mobile number to send your private strategy + next steps?
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Please enter a valid phone number.
Format: (000) 000-0000.
If your application is approved, I’ll text you a link to complete a Private Fat Loss & Hormone Review. After you submit it, I’ll send you a short private video breaking down: what’s blocking your results & what to do next. You’ll keep the video either way. Sound good?
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Yep
No thanks
What would you want to change in the first 30 days if you could ?
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Which of the following best describes your goals with our nervous system-led trauma-informed fitness/weight loss/hormone Balance approach?
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I Want success in all areas and is tired of the struggle
Repair Metabolism
Increase Motivation
Hormone balancing for Wellbeing & Enhancing Quality of Life
What hit different for you in that video? Anything you heard that made your body say ‘wait… this might actually work’?
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If this worked, what would be better in your body or life?
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Be real, which one is true? ( This program works best for the first option)
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I'm capable, responsible, and functioning- but stuck
I'm overwhelmed just trying to survive
What made you feel like I might actually help?
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A Post
A Friend
Testimonial
The No BS energy & Overall Vibe
What do you feel keeps knocking you off track or slowing progress?
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(Be honest — even if it sounds dumb.)
Are you done pretending you’re fine when you know your next level is stronger, hotter, freer…
HELL YES!
Nah
👋🏽Instagram / Facebook to match you to your profile:
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Bonus points if you post the handle link
Submit
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