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First & Last name
Phone Number
Email Address
How old are you?
What's your #1 fitness goal right now and why?
On a scale of 1-10, how serious are you when it comes to reaching this goal?
1 - I want to stay the same 🥱
2
3
4
5
6
7
8
9
10 - I'm sooo READY for a CHANGE 🥳
What do you feel you need the most support in to be successful in your journey?
Fitness
Nutrition
Mindset
Accountability
Perfect, knowing what you do for a living gives me some context as to who you are and what lifestyle factors will be at play. Where/what do you do for work? (Just list n/a if not applicable) 💃🏽
Have you worked with a coach before or tried any diets or fitness programs in the past? If yes, please provide details.
IG or Facebook Handle
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