You Are One Step Closer To Getting Healthier! Please Fill Out The Application Below.

Congratulations!

You're one step closer to losing it all and never feeling uncomfortable in the clothes you wear again!

Answer this short questionnaire to qualify for the next step.

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 going to leave this page immediately.

Full Name *

What is your current age group? *

Which selection below best describes your goal? *

I want to lose between 10-25lbs of stubborn fat, regain the energy I once had, and feel great in a bathing suit..

I want to restore my hormones and understand why my past attempts at “diets” have failed.

I want to build core strength and feel fit

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.

I want to maximize workouts with minimal time

I want to improve overall strength

I want to boost mobility and flexibility

I want to stay active with my kids

What has been your biggest challenge with achieving these goals so far?

I don't have time to meal prep or exercise

I struggle with consistency

I'm confused by all the diet/fitness advice out there

I've tried everything, nothing works

I don't have support/accountability

What type of exercise do you currently do?

Cardio (running, cycling, walking)

Strength training

Group classes

I don't currently exercise

What makes you interested in working with our team specifically? *

Because I’ve followed you guys for a long time, and witnessed the amazing success stories and transformations, and hope to be your next success story!

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 of your incredible team allows me to fully trust that you guys 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 in your life? If so, are they supportive of you investing in your weight loss, health, and personal growth?

Yes, I have a significant other and they are extremely 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

How do you feel about your current eating habits? *

I eat whatever is quick and convenient

I try to eat healthy but fall off track often

I follow a strict diet plan

I tend to skip meals or forget to eat

Have you tried any diets or programs in the past? If yes, which ones? What were the results?

What has stopped you from being successful with previous programs?

Lack of time or energy

Lack of support or accountability

Cravings or emotional eating

Programs were too restrictive

How motivated are you to make a lasting change in your health and fitness? *

Very motivated, I’m ready to take action

I’m interested, but need more guidance

I’m just curious at this point

If we are able to come up with a plan that you feel would help you reach your goals, are you willing to give up some unnecessary expenses above so you can invest into your health? *

Yes! I am ready to make some changes so I can reach my goals

No, I'm not willing to invest into my health and future

Email *

So we can hook you up with some free resources after our strategy session

Phone *

Please confirm your mobile number [It's really important this is correct so that we can confirm your application + help you book your free strategy session]

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