"Life—Upgraded" Application

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Thanks for your interest in the "Life—Upgraded" program that will take you through the next 100 days of exercise, nutrition, and other habits to help increase energy levels and create a greater sense of well-being.

Filling out this form does not obligate you to purchase anything. It is simply the beginning of a conversation about whether this program is right for you.

Please fill out all questions below and I will be in touch with my recommendation for the package that will best help you reach your goals. I can't wait to learn more about you! ~ Elizabeth

Email *

Name *

Where are you located? *

USA

Canada

Other:

Please tell me a little about your goals. Do you want to lose weight (if so, how much), tone up, eat better, gain more energy, improve your self-confidence, etc.? Is there a specific date or deadline by which you'd like to reach your goal? *

What's your fitness "personality"? (Select all that apply.) *

I love to push myself!

I get bored easily.

I am very self-motivated and don't have trouble with consistency.

I need help with motivation and consistency.

I dislike workouts that are very difficult. I find it discouraging when things are too challenging.

Required

How sore do you typically get after a challenging workout?

Not at all, muscle soreness is not really an issue for me

A little bit sore

I get very sore and it sometimes lasts for days!

Clear selection

How do you do with nutrition? *

Excellent! I'm a super healthy and clean eater!

So-so. I could do better.

A hot mess! Help!

Could you use help/improvement with any of the following? Check all that apply. *

Better immune function (want to get sick less often)

I wish I had steadier energy throughout the day.

Smoother digestion and more regular elimination

I have trouble getting in enough servings of vegetables.

I am always on the go and it's hard for me to find healthy things to eat that are portable.

Very high stress level and need more healthy ways to cope

I am working on eating healthier not only for me but for my whole family.

None of the above

Required

Do you currently have a Beachbody on Demand subscription? *

Yes

Do you currently have a Beachbody coach? *

Yes, you are my coach!

Yes, but my coach is not active.

Yes, but I'd like to work with you.

Are you interested in joining with a coach account (at no additional charge) to save 25% on future purchases and have the option of building a business?

Yes

Maybe

Clear selection

Send me a copy of my responses.

Submit

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