source tracking
First Name
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Last Name
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Phone
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Email
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Instagram Handle
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What is your current age range?
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18–24
25–34
35–44
45–54
55+
What is your current height?
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What is your current weight?
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Choose all that apply
Which of the following best describes your current goals and challenges?
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Lose body fat
Gain muscle
Body recomposition
Get stronger or improve training
Improve hormones
Improve gut health or digestion
Improve overall health and energy
Improve mindset and relationship with food
I do not currently have a specific fitness or physique goal
Which best describes your nutrition for the last 30 days?
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I have tracked my meals and macros and followed a meal plan
I have tracked my food in the past, but I have not been tracking lately
I have no idea where to start with my diet or nutrition
Which best describes your current employment status?
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Business owner or full-time entrepreneur
Executive or senior leader
Employed professional
Self-employed or freelancer
Employed in retail, hospitality, or a service position
Employed part-time
Student
Retired
Currently unemployed
Other
What are you looking to gain from having a coach?
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What is the biggest hurdle you have been trying to overcome with your fitness?
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What is your commitment level to your personal results?
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I’m extremely committed and ready to do whatever it takes
I’m committed enough to invest in my goals, but I’m concerned about missing social events
I know I need to make a change, but I’m not sure if I’m ready to fully commit
Anything else you’d like to add before booking?
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