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How old are you?! *

What are your health & fitness goals? Lose 20 lbs? Be happy and healthy? Tone up? Build lean muscle? Overcome depression and anxiety? Manage stress? Be more confident? etc. (Explain in depth) *

What do you feel you struggle with most when trying to accomplish your goal? *

Nutrition

Workouts

Accountability & Staying consistent

Feeling overwhelmed & knowing what to do

Other

What diets have you tried? *

Keto

Low-Carb

Detox

Whole 30

Macros

Paleo

Other

How do you feel after eating? *

Bloated

Exhausted/Fatigue

Guilty/Shame

Backed up

Gassy

None of the above

If you had a magic want to tone up any area, which would it be?! *

Belly (I want abs!)

Arms

Build a booty

Legs

Overall fitness

What would you be NOT WILLING to give up, in order to accomplish your goal? *

If I told you I was launching a 90-day program that would guarantee you create a a strong and lean body (and keep it) without long workouts or giving up favorite foods! Would you be interested in hearing more?? *

Yes plz!

No thanks

Maybe, I'm interested in learning more

Full Name *

Email *

Phone *

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