The purpose of this form is to help us better understand what you want out of your health and fitness, for us to see if we can potentially help you in hitting your goals, and get you the Body & Mind you deserve!

First Name *

Last Name *

Phone *

Email *

Check all the reasons why you want to apply for the Angie Method Results Coaching. Check all that apply. *

Feel sexy in my own skin

Overcome emotional/stress eating

Destroy procrastination & laziness

Boost confidence & self esteem

Eliminate "up and down" weight fluctuation

Eat Healthier

Are you willing to invest time and money into becoming the healthiest, sexiest, most *

Select

Yes, I understand my health is a priority above all things.
No, I'm not serious. I'd rather settle and stay the same.
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Please fill in your occupation *

What is your age, height & weight? *

What prompted you to apply to the Angie Method Coaching? Check all that apply. *

The 5 Day Confident Bombshell Challenge

The Dream Body Webinar

The Free Mom Strong Facebook Community

My Friend/Family Member Referred Me

Angie's Social Media

Angie's Emails

Somewhere Else

What has caught your attention about the Angie Method and how are you hoping that we could potentially help you? *

Specifically, In your own words - tell us exactly what your ultimate goal is (Doesn't have to be physical) and what you might need to accomplish your goal? *

What have you done in the past or are currently doing to potentially solve this problem? (list specific solutions that you've tried) *

Do You Need Permission from a Spouse To Invest In Yourself Now? *

Select

Yes -And I will have them join on the call.
No - I make decisions for myself
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If accepted can you start Right Now? We only have a limited quantity for strategy calls and coaching spots available and need to reserve those for people that are able to start right now. *

Select

Hell yes!
Yes.
No, I need more time.
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Will you be in a place at our call time where you’ll be fully present and focused? *

Select

Yes
No
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