CONGRATULATIONS! YOU'RE ONE STEP CLOSER TO FEELING COMFORTABLE AND CONFIDENT IN YOUR SKIN AGAIN, & HAVING ENDLESS AMOUNT OF ENERGY!

Answer the questionnaire to give us insight on how we can help you fast-track your health and fitness journey!

To confirm, you are filling this out because you want to lose 5lbs or more of stubborn fat, regain energy, optimize hormones, build lean & tone muscle + make this the LAST COACH you’ll ever need?

Yes - I am serious, and want to learn more about reaching my dream body, without sacrificing my life.

No - I’m going to leave this page immediately.

Full Name *

Email *

Phone *

Please confirm your email [It's really important this is correct so that we can confirm your application + get in contact with you]

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Instagram / Facebook Handle *

Age?

What is your current occupation and how long have you been doing it? *

Tell me about your goals! What do you hope to achieve while working together? *

What are some of the biggest challenges you face in reaching your goal? Adherence, training, diet, or all of the above? *

Which of the below best describes your goal? *

I want to lose between 10-25lbs of stubborn fat, regain the energy I once had, and feel sexy AF in a bathing suit..

I want to restore my hormones and understand why my past attempts at “diets” have failed.

I want to lose some weight and feel more confident in my skin + regain a healthy relationship with food.

I’m not exactly sure what my specific goals are, but I do know my approach to nutrition, fitness, and health is not working the way I would like them to.

What makes you interested in working with our team specifically? *

Because I’ve followed you guys for a long time, and witnessed the amazing success stories and transformations, and hope to be your next success story!

Because I want to utilize a proven method that will address the underlying root causes of my weight loss issues, instead of being told “eat less, and move more.”

The support, knowledge, and accountability of your incredible team allows me to fully trust that you guys will be the last coach I’ll ever need.

All of the above

I’m not very familiar with your program, but I am interested in learning more!

Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth? *

Yes, I have a significant other and they are supportive AF.

Yes, I have a significant other but this is my decision to make.

Yes, I have a significant other but they may need to be on the call with me to make a joint decision.

No, I’m single AF and make my own rules, lol

Select the things that you spend money on each month, that aren't helping you toward your health and fitness goals?

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? *

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? *

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

If we do determine that this program is a good fit for you. Are you in a position to give up some unnecessary expenses so you can invest into your health? *

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") *

Thanks for filling that out, I'm looking forward to connecting with you soon to determine if we would make a good fit to work together. Talk soon!

Note - If we don't already have a call set up, please book one with me here!