Name
*
First Name
Last Name
Age
*
What is your email?
*
example@example.com
Best number to contact you
*
Please enter a valid phone number.
Format: (000) 000-0000.
What are you currently struggling with?
What has held you back from reaching these goals?
Do you have any medical conditions we should be aware of? if so explain!
*
Do you have any history with tracking calories/ your intake?
*
How much stress does your current state give you?
*
Severe
Moderate
Minimal
What is your experience with lifting weights/ training?
*
Have you ever worked with a online coach before?
*
Do you have Facebook or IG? If so please insert here
*
Are you willing to invest in yourself physically, emotionally, and financially at this time?
*
With any program, it takes TIME, CONSISTENCY & PATIENCE - we want to help you achieve your goals, sustainable results & set you up for long term success! Because of this, we require a 3 month MINIMUM commitment to work with us through custom coaching. Custom coaching is an investment! In order to truly make a change in your life you have to be willing to make an investment in yourself & your health. Are you willing to spend $300+/month to invest in your health?
Yes, I am ready to invest & commit!
No, I am not ready & I cannot commit!
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