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Dana Simon Coach Application
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* Indicates required question
First, Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Why are you interested in joining my team and becoming a Beachbody Coach?
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Your answer
What do you know about Beachbody as a company?
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Your answer
Do you consider yourself to be a self-motivated person?
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Yes
No
Not sure
How much time do you have to devote to building your Beachbody business daily?
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Your answer
Envision your life 3-5 years from now? What does it look like?
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Your answer
What questions do you have for me about coaching?
Your answer
Check all of the boxes that apply to you
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I have never owned a Beachbody workout program
I have a Beachbody Workout program but have never completed it
I have completed at least one Beachbody workout program
I have never tried Shakeology
I have tried Shakeology but am not currently drinking it
I currently drink Shakeology regularly
Required
Which of the following describes your goals in becoming a Beachbody coach?
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I want to earn enough money to cover the costs of my Shakeology and fitness program
I want to earn an extra $500 per month to help with extra expenses, allow my family to take a vacation or to help pay the bills
I want to make this my full time job with an eventual income of $50,000 annually or more
I want to be a TOP coach and will do whatever it takes!
I am self motivated and would love to be my own boss and work from home
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Strongly Agree
Agree
Disagree
Strongly Disagree
What drives you to success?
Your answer
What is the best way to contact you? Lastly, how quickly would you like to get started?
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Your answer
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