Full Name
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Email
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Phone
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What is your instagram handle/facebook name
What country do you live in?
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What is your age?
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18-21
22-26
27-31
31+
What is your current job title?
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Tell me, Are You Willing To Invest Mentally, Physically And Financially Towards Your Health And Overall Wellbeing
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YES
NO
What Does Your Current Physique Look Like?
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Slim - I want to put on some healthy weight and build lean muscle
Curvy With A Bit Of Fluff - I want to tone up slightly to see more definition
Chubby - I look pretty round and it's effecting my confidence
Overweight - I am overweight and often not happy when looking in the mirror
Obese - You weigh 200+ lbs and it's more than appearance it's a matter of health
Other
Which Of The Following Statements Describe Your Situation Best?
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I have a clear goal but I don't know how to get there. There is so much conflicting information, and I don't know what will work for me. I do not want to waste my time and energy experimenting.
I have gained weight after certain events in life and I just can't get rid of it! I don't feel sexy anymore and I need to fix it ASAP.
I am extremely uncomfortable in my body and it is impacting certain areas of my life, including my health, my confidence, my self-esteem, my relationship and my career.
How Much Of a Priority Is It For You Right Now To Reach Your Fitness Goals With Me?
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3/10 - I have no urgency, I am just looking for some information right now.
6/10 - I want to start my transformation ASAP. Being out of shape is affecting my day-to-day life. I want to boost my self-esteem and improve my health. I am tired of not living life to the fullest.
10/10 - I am ready to do anything it takes to fix my current situation. I simply cannot let another day pass without making a change. It is affecting me mentally, physically and emotionally.
In your opinion, briefly explain the ONE main thing that is stopping you from achieving your goal? You can say things like ‘ I need accountability’ or ‘I don’t know how to train effectively.’
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What fitness goal would you like to achieve with us?
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Are you aware that working directly with me is a minimum 8 week commitment so that I can get you in you in the shape of your life?
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Yes, and I am willing to commit
No, I can't commit
Are you the final decision-maker regarding your finances and investments?
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Yes, I am the only one involved in decision making and finances
No, I would need to consult with my partner/significant other
Tell Me, What Would You Be Willing To Invest In Yourself Each Month, If I Could *GUARANTEE* That You Would Feel Healthier And Happier With Your Body?
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$0 - $50 (Not That Serious)
$100 - $250 (Ready To Start)
$300 - $450+ (I'M ALL IN!!)
FINALLY, why do you think I can help you TRANSFORM your body in 12 weeks or less?
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