Please fill out our intake form so we can learn more about you!
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* Where did you hear about us?
Friend told me
Saw your transformations online
Articles you wrote
sponsored athletes
in your facebook group
If other, please specify
* Your Facebook profile name (since some of us use different names)
* Occupation
* What is your goal? Example: ...Lose 50lbs ...Tone Up ...Get to 10% body fat ...Be healthy for my children ...Overcome anxiety/depression Please be very specific. Goals do not need to be physical goals.
* What have you tried in the past?
Gym membership
Personal trainer
Shakes program
At home diet/workout plans
Weight Watchers/Jenny Craig/Nutrisystem
Diet pills/HcG/Surgery/etc...
* What stopped you from achieving your goal AND/OR sustaining it? Example: Sustainability of the Plan Needed Accountability/Motivation Didn't Know What To Do Hit A Plateau Then Gave Up
* What would need to happen in one year for you to look back and think "This was the best decision I've ever made, I'm so grateful I did this!" ?
* On a 1 to 10 scale, how dissatisfied are you with your current state? 1=Completely Comfortable 10=I Will Do Whatever It Takes To Change.
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* We work off of a waiting list primarily. If selected, WHY will you be a good client to work with?
* Are you willing to invest financially to reach your goals?
* Please type the word "YES" in response to the following statements if you agree: 1) I will respond to text messages when the coach reaches out. 2) I will confirm my appointment via text by responding "yes" or "no" that I will show up.
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