Challenge Group Application

Please complete this application so I can connect with you!

Full Name *

First Name Last Name

E-mail *

Phone Number

Area Code Phone Number

Please tell me a little bit about your goals. Do you want to lose weight (if so, how much) tone up, eat better, gain more energy, improve your self confidence, etc? *

What is your Favorite Workout Style? Check all that apply.

Strength Training Cardio Dance Yoga/Pilates Kickboxing Low Impact

What describes your fitness level? *

Beginner Intermediate Advanced

How is your nutrition?

Excellent! I'm super healthy and clean eater! It's okay. It can definitely be better! A hot mess! Help!

Why would you like to participate in this group? What are your overall health and fitness goals?

Do you currently have a Beachbody Coach?

No, I would love for you to be my coach! Yes, but my coach is not active. Yes, but I would like to work with you. You are my coach!

Have you ever completed a Beachbody program? If so, which one(s)?

Are you familiar with Shakeology?

No, please tell me more! I've heard of it, but I'd like more details! Yes, I've had it!

Are you interested in hearing more about taking advantage of the discount in saving 25%?

Yes No

Are you interested in hearing about becoming a coach with our team Chicago Inspire?

yes no maybe

I will be reviewing your application shortly. Thank you and I look forward to talking with you soon!

~ Misty Nanna XO