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15
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Area Code
Phone Number
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4
How can I find you on Instagram and Facebook?
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5
Do you already have a Beachbody membership?
YES
NO
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6
Do you already have a coach?
YES
NO
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7
How would you best describe your level of fitness/experience?
Very fit - I workout 5-7 times/week
Moderately fit - I try so workout 3-4 times/week
Teeny bit fit - I am active 1-2 times/week
Not fit at all but would love to be
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8
Where do you currently live: I currently can’t ship anywhere outside of the US, Canada and the UK but I will get your email down on my list for when we do launch in your country.
United States
UK
Canada
Other
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9
What do you feel are your biggest obstacles when it comes to getting the results you want?
I don’t have the time
I lack motivation
I don’t know where to start
I struggle with confidence
I can’t afford it
Other
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10
How would you rate your nutrition?
⭐️
⭐️⭐️⭐️
⭐️⭐️
⭐️⭐️⭐️⭐️
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11
These are the packs you will choose from on the next page. No need to memorize them though, I explain them all on the next page.
Challenge Packs
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12
I do not charge for my coaching or my groups, but you do need to invest in the program as we will be using it for the group. There are a few options, so choose what is best for you below. All of them come with a years worth of access to my online virtual gym with over 1000 workouts, a nutrition guide, meal plan, all equipment needed to complete the workouts, and an invite into my private online accountability/self-love community, weekly check-in‘s with me, and most importantly as your coach! Then, in addition to all of that, select what option you want to customize your pack with .
Option 1- I want all of that listed above with 40 servings of my preworkout (mama crack) and 20 servings of my post workout, plus 30 servings of our superfoods shake, a box of our delicious snack bars, a 30 servings tub of our super greens(they act as a serving of a vegetable and I add it to my shake), PLUS our 3 day cleanse to help you kickstart your results for $330US ($395CAD)
Option 2- I want all of that listed above with 40 servings of the pre-work out, 20 servings of our post workout, 30 servings of our superfood meal replacement shake, and 30 servings of our power greens for $250 US ($293CAD)
Option 3- I want all of that listed above with 30 meals of your superfood shake and the pre-and post workout for $219 US ($256CAD)
Option 4- I already have access to the workouts, but I want 30 superfood meals the pre-and post workout, the three day cleanse, a tub of power greens and a box of 15 snack bars for $300 US ($360CAD)
Option 5- I already have access to the workouts, but I want 30 superfood meals, the pre-and post workout and a tub of power greens for $219 US ($256CAD)
Option 6- I already have access to the workouts, but I want 30 superfood meals and a pre-and post workout for $190 US ($233CAD)
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13
Are you interested in trying out our superfood bars? We have chocolate peanut butter and cherry chocolate almond. If you select option one or option for above, a box is included in your order.
Yes, I want to add a box of 15 chocolate peanut butter for $40 US
Yes, I want to add a box of 15 cherry chocolate almond for $40 US
Yes, I want to add one of each for $80 US
No thanks!
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14
How would you like to sign up?
Loyalty member/discount coach (I want a 25% discount on future purchases)!
Regular customer (I don’t want to save any money in the future).
Coach (I would love to help change lives and get my products for free)!
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15
I am so excited to start this amazing journey with you! Together we are going to crush some serious goals!
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