SheBad Body Design Registration

1
Full Name* This field is required.
Prefix
First Name
Last Name
2
Age?
3
Height?
4
Weight?
5
E-mail* This field is required.
6
Phone Number* This field is required.
Area Code
Phone Number
7
Are you currently employed?* This field is required.
YESNO
8
What is your income level?Thank you for considering our services. SheBad BD understands that you may have some questions about why we ask for sensitive information, such as your income. We ask because it helps us better understand your financial situation and tailor our services to meet your specific needs. Our goal is to provide you with the best body design experience, and achieve great results for you. By providing this income information, you enable SheBad to design a personalized solution that meets your requirements. Please be assured that we treat all client information with the utmost confidentiality and take all necessary steps to safeguard your privacy.
$0-$30,000
$31,000-$60,000
$61,000-$90,000
$91,000-$120,000
$120,000+
9
Where did you hear about SheBad?* This field is required.Please check all that apply
Facebook
Instagram
YouTube
SnapChat
SheBad Client
Other
10
Which body type are you?* This field is required.If you have to strip to your undergarments for an accurate assessment, please do so. Don't shy away from the mirror. Embrace yourself, and trust that you'll love the outcome on your journey toward becoming a baddie.
Straight
Pear
Spoon
Hourglass
Top Hourglass
Inverted Triangle
Oval
Diamond
11
Do you smoke? * This field is required.
YESNO
12
Do you drink alcoholic beverages (including wine)? * This field is required.
YESNO
13
What area(s) do you desire to redesign most?* This field is required.Please type one word answers (ex. hips, butt, back, arms, etc...)
14
What, in your opinion, prevents you from working out consistently?* This field is required.Please consider your answer and be honest with yourself
Huge
Large
Normal
Small
Ok
Ok
15
These workouts are based on the 7 primal movement patterns of humans. Is there any reason you are limited to twisting, bending, pushing, pulling, lunging, squatting or walking?* This field is required.
YESNO
16
Do you have any past or present injuries? If so, what?* This field is required.Examples would be joint damage, fractures, tissue damage, shoulder/hip/knee replacement, etc.
*anything that will prevent you from working out total body. Please refer to your doctor if unsure.
17
Are you pregnant?* This field is required.
Yes
No
18
One on One session costs vary, but are a minimum of 3 days participation each week. Are you still interested in joining SheBad Body Design?* This field is required.
YESNO
19
The personal session will be hold on Zoom. The camera should be enabled so the participant's form and precision may be viewed by the Body Designer. We ask that no spectators, excluding children, are present in order to protect the privacy of all. Do you agree to these terms and conditions?
YESNO
20
Which social media platform do you use?Check all that apply
Facebook
Instagram
YouTube
TikTok
Twitter
No social media
21
How many days per week are you able to commit to redesigning your body?* This field is required.
3
4
5
22
What date would you like to begin redesigning your body?
Date
Month
Day
Year
Should be Empty: