What’s the #1 fitness goal you want to achieve?
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Fat Loss
Build Lean Muscle
Improve Overall Health & Fitness
Prepare for a Specific Event (e.g., wedding, vacation)
What is your gender?
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Male
Female
What is your current age?
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45+
35–44
25–34
18–24
Under 18
What has been your biggest challenge in reaching your goal?
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Staying Consistent with Workouts
Struggling with Diet and Nutrition
Lack of Accountability or Support
Not knowing Where to Start
How committed are you to achieving your goal right now?
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Ready to Start
Somewhat Ready
Thinking About It
Not Ready Yet
Are you ready to fully commit to your transformation with the right coaching, structure, and accountability?
Yes! I’m 100% committed and ready to start!
I want to, but I have a few questions first.
Where in the world are you located?
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Have you been referred?
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Yes
No
Who has referred you?
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Final Step: Let’s Stay Connected!
Full Name
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Email
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Phone
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Instagram Handle
I consent to be contacted by the BODYGEEK team