BJFH GANG Questionnaire Form

1
Due to a high volume of inquiries, we only have a few spots left in the program. Please understand that our team will review this form and proceed with a consultation if the application meets the basic requirements of the program.
2
Where Did You Hear About Us?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
3
What is your main motivation for applying for this exclusive 1:1 Transformation program?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
4
What is your goal?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
5
How long have you been wanting to reach these goals?* This field is required.
6
What has changed between then and now?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
7
What have you tried in the past in attempt to reach these goals?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
8
What stopped you from achieving your goal AND/OR sustaining it?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
What is your biggest struggle with getting back to your DREAM body? * This field is required.
Huge
Large
Normal
Small
Ok
Ok
10
On a 1 to 10 scale, how dissatisfied are you with your current state?* This field is required.
10 - Completely dissatisfied
1 - Not dissatisfied at all
2
3
4
5
6
7
8
9
10 - Completely dissatisfied
11
What do you see when you look in the mirror? * This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
How do you feel when you look at yourself naked in the mirror?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
What are you looking to accomplish when it comes to your appearance and state of being?* This field is required.
14
An offer will be made to join the Gang ONLY if we are able to help you! Do you agree?
YESNO
15
List any concerns that may make working out more difficult for you.* This field is required.
16
What is your occupation and how long have you been there?* This field is required.Knowing this helps us determine your current activity levels and gives a good base to start from.
17
Do you need your spouse's permission to make financial decisions to join this program?* This field is required.
Yes, I can make my own decisions.
No, I will need my spouse/partner (if so, they will need to be on this call with you)
18
We don’t take on everybody as this is a deep change at the identity level. We work off of a waiting list primarily. If selected, WHY will you be a good client to work with? * This field is required.
Huge
Large
Normal
Small
Ok
Ok
19
We have limited openings, if accepted, how soon are you looking to get started?* This field is required.
I am ready to get started today
I am ready to start tomorrow
I am ready to start this weekend
20
If your application is accepted, Our coaching programs starts at $1,997 for the Blue Jay Lifestyle, $5,000 for the Version 2.0 Transformation, and $10,000 for Version 2.0 with curated Wellness Retreat. How willing and able are you to invest to reach your goals and live a healthier and happier life?* This field is required.
I have the financial resources and am willing to invest $500 in bettering my health
I have access to the financial resources and am willing to fully invest in bettering my health
I am not willing to invest in a new healthy lifestyle and don’t have any financial resources to invest in bettering my health
21
I understand that by submitting this form it does not guarantee me a spot in the program, that will be decided on the phone call.* This field is required.
Yes, I understand
22
Your Name* This field is required.
First Name
Last Name
23
My team and I speak to a minimum of 20 people a day wanting to join this program, so it’s up to us to make sure you are a good fit. Is there anything else that would like your coach to know?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: