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Our services are personalized, so be as detailed as possible in your answers.
Full Name
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First Name
Last Name
Phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Instagram Handle
What is your occupation and how many hours per week do you work?
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How has this negatively impacted your health and fitness goals?
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Which best describes your nutrition for the last 30 days?
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Please Select
Consistently tracking macros/calories
Following a meal plan
Intuitive eating/No tracking
Frequent overeating/binge episodes
Restrictive dieting/under-eating
Other
Which of the following best describes your current goals/challenges? (select all that apply)
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I want to lose fat (lose weight)
I want to build muscle (gain weight)
Improve Performance (strength, endurance, etc.)
I want to improve my overall health, increase energy, etc.
If you are a competitor, what division do you compete in?
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N/A, I'm not a competitor.
Bikini
Model
Figure
Physique
Wellness
Mens Physique
Classic Physique
Body Building
What is the biggest hurdle you've been trying to overcome with your fitness?
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What is it you are looking to gain from having a coach?
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What is your commitment level to your personal results?
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1. I'm extremely committed. I'm sick of my own bullshit, and I will do whatever it takes.
2. I'm committed enough to invest in my goals but I'm afraid of "missing out" on social events.
3. I know I need help to make a change but I'm not sure if I'm ready to fully commit.
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