First Name *

Last Name *

Phone *

Email *

Your current employment status? *

Full time

Part time

Stay at-home mom/wife

Student

Unemployed

What’s your current job title and do you believe your work is hindering/influencing your progress? *

I use this to get a sense of your lifestyle and work demands. Please be specific!

Are you currently working with any kind of personal trainer, fitness coach or group program? *

Yes

This helps me understand your journey so far and how serious you are about making lasting change

Which best describes your mindset around taking action on your health right now? *

What's your biggest struggle right now? *

This helps me understand what’s actually getting in the way so we can focus on what’ll make the biggest difference for you

What motivated you to show interest in my program specifically? *

Do you have any medical conditions that could hinder your fitness journey? *

If this program feels like the right fit for you, are you prepared to show up and make a commitment to change? *

100% I will make time, no matter what

I'm interested but need more info

I'm just exploring options for now

Pick one or more that best describes you

Have you ever invested in your health before? If so, how much have you invested? *

This call is all about digging into what’s challenging you.. Will you come present to give this call your full attention? *

Yes, I will be there

No thanks, I think I'm good

If my program can help you achieve your desired goals, would you be willing (and able) to invest in getting the help necessary to get there? *

Yes I have the cashflow to invest in myself
I may or may not have the cashflow to invest but I'm resourceful and have access to credit
No I dont have the cashflow nor the credit to invest in myself
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