Congratulations

You're one step close to reaching your goals!

Answer this short questionnaire before our call!

To confirm, you are filling this out because you want to lose between 10-25lbs 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 not really sure why I'm here.

First Name

Last Name

Which of the below best describes your goal?

I want to lose between 10-25lbs of stubborn fat, regain the energy and feel confident in my body!

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 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 allows me to fully trust that you 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!

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

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.

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 and make my own rules, lol

If we were to find a way to reach your dream body, optimize your health, and learn how to keep your results for LIFE, making this the last coach you'll ever need - would you be willing (and able) to invest in getting the help necessary to get there?

Yes, I have the ability to invest in myself.

Yes, I may or may not have the cash flow but I'm resourceful and/or have access to credit.

No, my cash flow is month to month and I have no access to credit.

Email *

Phone *

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