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Getting to know your goals
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First & Last Name
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Your answer
Email:
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Your answer
Facebook URL: (full name on Facebook)
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Your answer
Cell phone number and a good time to reach you:
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Your answer
1. What is your CURRENT height & weight
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Your answer
2. PAINT a detailed picture of your DREAM body, weight, size and how you will feel when you reach this point.
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Your answer
Which best describes your overall weight loss goals:
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Tone up and lose about 5-10 pounds- Get rid of the bloat and back in my skinny jeans!
Lose between 10-25 pounds- Get my sexy back!
Lose more than 25 pounds- Ready for a NEW & Improved ME!
Other:
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My current Fitness level:
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1-3 completely out of shape but exercise from time to time
4-6 workout a few times per week
7-10 workout 5-6 days per week- but need a challenge & a change!
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My Commitment level is:
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1-3 Need Motivation & Accountability to get moving
4-6 Enjoy working out, don't really have enough time. Ready to learn how to make it work!
7-10 Willing to give it 100% for a TOTAL BODY Transformation!
Other:
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I am ready to commit to 21 Days and follow a Specific Meal Plan & Workouts without excuses.
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Agree without excuses
Willing to try and give it my best
What is ONE thing that you are willing to GIVE UP to be successful?
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What is your biggest struggle?
Your answer
Have you tried shakeology?
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No, I have never tried shakeology.
Yes, I drink it daily.
Never tried it, but would like more info.
Other:
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Would you like to earn EXTRA money while getting in shape AND save 25%?
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Absolutely!
Not sure- more info please.
Maybe after I get some results.
No thanks- not right now.
Sign me up!
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Are you currently working with a Beachbody coach?
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Yes- if not Karma, who?
No
Not sure
Karma Nelson is already my Coach
Other:
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