Strategy Session

Anchor
Your Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number*
Name: {yourName}
Email: {email}
Phone: {cellPhone}
1
Membership Status*

Current MemberFormer MemberNot a Member
Gender*

FemaleMale
Birthdate*

MonthDayYear
I will show you how to get the BEST results in the LEAST amount of time! What results do you desire most?
YES! I'd LOVE to FEEL Better!

Greater energy, rested - no insomniaCalm - Less stress and AnxietyConfidence - No more hidingMotivated - No more excuses
YES! I'd LOVE to LOOK Better!

Fat LossStay LeanIncrease muscle/strengthTighten skin & reduce wrinkles
YES! I'd LOVE to MOVE Better!

No aches & painsLighter - More zest in your stepFlexibilityEnjoy children or grandchildren
YES! I'd LOVE to LIVE Better! (and LONGER!)

Age ReversalSuper-charged Immune system - Reduce risk of diseaseKleanUp eating habitsMore Laughter & Love
When do you feel you were in the best shape of your life? (Healthiest, Fittest, Happiest)
How did you feel back then?
Life happens... What circumstances, situations, or conditions have prevented you from enjoying the level of Health, Vitality, and Energy you would Love?
How has that taken a toll of your Focus, Confidence, Emotions, Relationships, Career, and Social Life? What has suffered the most? What is your Cost Of Inaction (COI)? What has it cost you and what will it continue to cost you?
What memberships, subscriptions, or programs have you participated in, and how much have you invested?
Up until now... what has caused you to fall off track and not staying accountable with achieving the results you desire? Rate each of these areas on a scale of 1-5 showing how they prevented you from taking care of yourself and enjoying the skin you are in.
FOCUS - Life distracts me from following a program.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
HABITS - Daily routine gets in the way.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
BELIEF - I tried so many programs and nothing has worked.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
EMOTIONS - Stress, depression or anxiety put me in a funk.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
ENERGY - In exhausted and tired all the time.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
SOCIAL SUPPORT - People in my life don’t share my goals.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
TIME MANAGEMENT - I’m just too dog-gone busy.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
FINANCES – Investing in myself feels financially challenging.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
STRESS MANAGEMENT – Overwhelm prevents me from prioritizing myself.

1

2

3

4

5

1 is Little Impact, 5 is Most Impact
OUR PROVEN SYSTEM will Save You Stress Time Energy & Money on things that will not work!
On a scale from 1-5, how ready are you to get a real Return On Investment (ROI) by investing (your time, energy and money) into a system that could help you achieve the health, body & life of your dreams?

1

2

3

4

5

1 is Not Ready, 5 is Really Ready
Currently on Medications ? (If so, list what medications).
Any other insights you'd like to share?
Which programs are you interested in? Select all that apply.

KLEAN30 (Release 20 lbs unwanted stress & weight in 30 days)13 Years Younger (Reclaim your youthful vibrant energy... feel 13 years YOUNGER, Stronger Happier)Nutrition & Accountability CoachingLiveWELLthyNow Life CoachingMastery of Health & Well-being Elite CoachingPersonal TrainingGroup Fitness
Top 3 things that caused you to fall off track and not staying accountable with achieving the results you desire and improving your health?

FOCUS - Life distracts me from following a program.HABITS - Daily routine gets in the way.BELIEF - I tried so many programs and nothing has worked.EMOTIONS - Stress, depression or anxiety put me in a funk.ENERGY - In exhausted and tired all the time.SOCIAL SUPPORT - People in my life don’t share my goals.TIME MANAGEMENT - I’m just too dog-gone busy.
Rate your current HEALTH/FITNESS Status

PoorNeeds ImprovementFairGoodExcellentOutstanding
FITNESS HISTORY/INTERESTS
Rate your current personal FITNESS level

PoorNeeds ImprovementFairGoodExcellentOutstanding
Current Lifestyle Status

SedentaryModerately ActiveVery Active
How many days would you enjoy being active?

1-23-56-7
What activities have/would you be interested in? (check all that apply)

Group Fitness ClassesCardio/HIIT TrainingResistance/weight trainingWalking/runningMartial artsSports specific training (ie Golf, Tennis, Basketball, Baseball, Football, etc.)Stretching/flexibilityYoga/mind bodyCyclingDanceCore ConditioningOther
What Group Fitness classes have you enjoyed? (check all that apply)

BODYPUMPBODYCOMBATBODYFLOW/YogaCoreGrit CardioGrit StrengthRPMZumbaOther
Have you struggled in the past being consistent with exercise?

YesNo
Do you feel you could use more energy, do you often feel tired or fatigued?

YesNo
NUTRITION HISTORY/INTERESTS
Rate your current NUTRITION

PoorNeeds ImprovementFairGoodExcellentOutstanding
Number of Meals/Snacks per day

136 (Snacker)
Favorite Meal

BreakfastLunchDinner
Biggest Meal

BreakfastLunchDinner
Check all that typically apply to you:

Mostly Eat out or on the goEat Home & Out 50/50Meal Prep
How many diets have you been on in the past?

12Many
Have you struggled finding a menu & eating plan that you love and is sustainable?

YesNo
ACCOUNTABILITY and OBSTACLES
In the last 6-12 months, how well did you hold yourself ACCOUNTABLE to achieve the results you desire?

PoorNeeds ImprovementFairGoodExcellentOutstanding
We will contact you with your next step in the next 24 Hours.

In the meantime, if you have any specific questions, text 973-943-9315!

Together, we will create your CUSTOMIZED Results RoadM.A.P. designed to bridge the gap from where you are to where you want to be in the least amount of time!
Membership*
Select all that apply...

More ENERGYMore TIMEMore SLEEPMore HAPPINESSMore FREEDOM (pain food, medications)More CLARITYMORE LIFE in your YearsMore VITALITYMore STRENGTHMore LOVEMore FUNMore CONFIDENCEMore RESULTS
What are the main areas of struggle or concern in your health, appearance & wellBeing right now?

Eating HabitsMotivationAging FasterFat LossImmune System & Risk of DiseaseStaying LeanMuscle/StrengthStressSleep
Explain...
What other areas of life have been negatively impacted from this?

Social EventsLow EnergyIntimate Relationship Disconnected ior SufferingNot wearing clothing you LOVEConfidenceCareer Growth
STRUGGLES

Stubborn weight?Constantly drained?Holiday weight gain haunting you?Drowning in stress?No time to put yourself first?Feeling older than your years?Struggling without support?Bad habits dragging you down?Lost that drive to feel your best?Sick of diets that don’t deliver?
What, if anything, have you done previously to solve this issue?

Nutrition & AccountabilityPersonal TrainingGroup Fitness
Up until now, what has kept you from experiencing optimal results, caused you to fall off track or not stay accountable with achieving the results you desire and improving your health?*

FOCUS - Life distracts me from following a program.HABITS - Daily routine gets in the way.BELIEF - I tried so many programs and nothing has worked.EMOTIONS - Stress, depression or anxiety put me in a funk.ENERGY - In exhausted and tired all the time.SOCIAL SUPPORT - People in my life don’t share my goals.TIME MANAGEMENT - I’m just too dog-gone busy.
What do you think is the underlying, REAL reason?
If you were guaranteed to succeed in having the health,body & life of your DREAMS, what is the ideal outcome? Describe what the amazing results would look like?
ASPIRATIONS

Ignite fat-burning around the clock!Wake up recharged and ready to conquer.Drop pounds while enjoying every moment.Unlock calm and focus like never before.Get powerful results without sacrificing time.Turn back the clock and feel unstoppable.Full coaching & accountability—start to finish.Transform patterns and thrive!Reclaim unstoppable energy and confidence.Embrace a lifestyle of lasting WELLth.
Should be Empty:

FITNESS HISTORY/INTERESTS

NUTRITION HISTORY/INTERESTS

ACCOUNTABILITY and OBSTACLES