First Name
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Last Name
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Email
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Phone Number
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Your occupation?
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What are your goals?*
Get My Body Back & Feel Great In My Clothes
Tone-up
Have More Energy
Create a Life I Love
All Of The Above!
What are you main struggles in terms of your health & fitness at the moment?
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Are you serious about investing in your health and financially committing to working with a coach?
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Yes
No
How much money could you afford to spend per week? If it meant you were guaranteed to achieve all your goals.
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$40-60
$60-80
$80+
I can't afford anything
We notice that you selected that you can't afford to invest anything. Our programs start for a little as $11 per day. Would consider this amount if you knew the program was the perfect fit for your goals and your lifestyle?
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Okay, if I get results and you guys can work within my budget I will be willing to invest
No, I really can't afford anything
If accepted, how soon are you looking to get started? (If you aren't ready please just wait)*
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I accept that any changes made to my appointment time without a 2hr notice will be denied. Cancel, reschedule or no show with less than 2 hours notice will not be re-scheduled.
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Yes, I accept
No, I do not
