Fit Asian Mom's Fitness Challenge Application
Hi! Thank you for reaching out to me! I am so glad to hear from you!I have the tools to help you establish a new healthier lifestyle, lose weight, increase your confidence & transform your mindset! Are you ready to invest in your health? Please fill out this short form so I can get to know you better and help get you started!
Mindy Hord, Fit Asian Mom - MINDYHORD.com
What is your FULL name? (first & last) *
Your answer
What is your email address? *
Your answer
What is your phone #? *
Your answer
Please list any Social Media accounts you have *For Facebook, please copy your profile URL... for Instagram, please list your username. This allows you and your coach to get to know one another better! *
Your answer
How do you prefer to be contacted?
Are you currently working with a Coach? *
Do you currently own a Beachbody Program? *
Have you heard of Shakeology before? *
What is your goal? *
How would you rate your CURRENT fitness level? *
What is exercise?
I am the "fittest" I've ever been!
How would you rate your current diet? *
Need LOTS of improvement!
Very knowledgable about Clean Eating & Nutrition
What does a typical day of eating look like for you?
Your answer
Is there anything you would like to share with me? Do you have any health concerns or issues that I should be aware of? (i.e. Have you been diagnosed with diabetes, heart issues, high blood pressure or cholesterol or have problems with your thyroid, etc.?)
Your answer
If you decided to join my upcoming fitness challenge, what would you hope to accomplish by the end of the 30-days?
Your answer
Why do you want to be part of my challenge group?
Your answer
Complete this sentence: "I feel/felt my best when _____________."
Your answer
What motivates you? *
When you reach your goal, how will you celebrate/reward yourself?
Your answer
If you disappear aka "fall off the wagon" do I have your permission to show you some tough love to hold you accountable to your goals *
Do you know anyone who would be interested in joining you? *
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