First Name
Last Name
Email
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Phone
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Instagram Handle
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Date of birth
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Why should you be selected for this giveaway? Be specific.
Are you committed to making a change in your life?
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1 = not really / 5 = ready to change ASAP
1 = not really, just exploring
2
3
4
5 = ready to change today
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Why do you think past weight loss attempts were unsuccessful?
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From your perspective, what makes "this time" different?
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How did you hear about us?
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Please select only 1 connection from the list
IG
FB
The FYX Podcast
Current Fitness FYX Member
Coach Krysta
Coach Cait
Sweat440
TheLIFT Gym
Geneva
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