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16
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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
Check all the reasons why you want to apply for Ariel_Bodybyu Transformation Coaching
choose as many as you like
Lose 10-30 pounds
Boost Mental & Emotional Wellbeing
Feel Sexy (Confident )In My Own Skin Again
To Be Held Accountable by Coach
Eat Healthier & Tone up
learn how to track macros
more energy& most importantly happier
Please Select
Lose 10-30 pounds
Boost Mental & Emotional Wellbeing
Feel Sexy (Confident )In My Own Skin Again
To Be Held Accountable by Coach
Eat Healthier & Tone up
learn how to track macros
more energy& most importantly happier
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5
Are you prepared to invest the time & money into transforming into the healthiest, most confident version of yourself?
Yes! I am 100% Committed & Ready to Get Started!
No... The Idea is Great But I Know I'll Quit on My Coach.
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6
What is Your Career/Occupation?
This helps us in matching you with the right program as we get a better idea of the type of lifestyle you live.
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7
Age Range
18-25
26-39
40-59
60+
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8
What is your current Weight
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9
what size waist are you
if you do not know do not worry
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10
What Programs have you tried in the past and why didn't it work?
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11
On a 🌟of 1-5 with 1 being "I'm satisfied with where I am" and 5 being "I'll do ANYTHING to reach my goals". What 🌟 are you?
1
2
3
4
5
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12
What would you expect from me as your coach if we were to work together?
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13
What results would define success for yourself
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14
Are you the decision maker of your household?
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15
Are you POSITIVE you will show up on your call ( once we schedule a time)?
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16
Instagram Handel
instagram username ( to send free gift )
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