Full Name
Phone
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Email
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Fitness goal
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Lose body fat and get lean
Build muscle & strength
Improve athletic performance
Boost energy & overall health
What's been holding you back from reaching this goal?
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How committed are you to finally hitting your goal? (Select one)
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100%- I'm ready to make this happen
75% -I'm serious, but I've been inconsistent
50% or less- I'm curious, but not fully ready
What is your age?
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If you're ready to invest, which best describes your monthly budget for achieving this goal?
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$300-$500/month
$500-$1,000/month
$1000+/month
Not sure, I'll need guidance
Occupation
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If we worked together, how soon would you want to start?
✅ Immediately
📅 Within the next 30 days
🤔 Just gathering information right now