You Are One Step Closer To Getting Healthier! Please Fill Out The Application Below.
First Name
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Last Name
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Email
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Phone
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Occupation? (Where do you work? Desk job? Active job? etc.)
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Age?
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Weight?
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What are your health & fitness goals? Lose 20 lbs? Be happy and healthy? Tone up? Build lean muscle? Overcome depression and anxiety? Manage stress? Be more confident? etc. (Explain in depth)
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Explain to us WHY. What is driving you to make these changes?
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What have you tried in the past and why hasn't it worked for you? What has kept you from achieving your goals?
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What would you expect from me as your coach if we decide to work together?
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Space is very limited and I want to make sure this is a good fit, why do you think you would benefit from a call or be a good addition to our team, if invited?
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On a scale of 1-5, how ready / committed are you to changing your life right now? (1 being "not ready at all" and 5 being "I'll do anything to change my life")
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1- I could put this off for awhile
2
3
4
5- I want this change now!
Select the things that you spend money on each month, that aren't helping you toward your health and fitness goals?
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Fast Food / Eating Out
Online Shopping
Nails / Hair... more than I NEED lol..
Other random stuff
How much (if you had to guess) are these costing you each month in total?
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Less than $100
$150-250/mo
$300-400/mo
$500+/mo
If we are able to come up with a plan that you feel would help you reach your goals, are you willing to give up some unnecessary expenses above so you can invest into your health?
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Yes! I am ready to make some changes so I can reach my goals
No, I'm not willing to invest into my health and future
Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide)
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Yes
No
Not Applicable
This might sound like a silly question because you've made it this far BUT, will you show up on time? (We value your time, we just ask the same in return)
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COMPLETE
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
We Will Review Your Application And We Will Be In Touch For Next Steps.