Welcome New Customer- All About Me!
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First & Last Name *
What is the best way to contact you? Facebook, email, text, phone? Please provide cell number. *
email address: *
DOB & Age *
Current height & weight / GOAL- Dream height & weight *
Tell me about your family... Married, kids, or any pets?
What do you like to do for fun/ or hobbies your interested in *
Current Beachbody program you are doing or will begin? *
Current supplements/ medicines? Any health issues, medical conditions, food allergies? *
Time of the day you workout or PLAN to start working out *
Do you smoke?  If yes are you willing to stop? *
Do you drink sodas?  If yes are you willing to give up? *
Commitment level to follow program from 1-10? (10 ready to give 100%) *
Physically fit at this time 1-10 (10 best shape of your life) *
Please provide a typical day food journal *
What are some strengths you see you have in yourself? *
What is ONE thing you need to give up/ change to see better results/ success with this challenge? *
Which describes YOU best? *
Required
Which best describes you currently? *
Tell me about your current job
Required
Would you like to earn EXTRA money while getting in shape AND save 25%? *
Required
Please provide a short Bio on YOU and what you are most excited about with this challenge. *
Any other specifics I need to know to better help you:
I have emailed my BEFORE pics, weight & measurements to Karma (karma@fitkarma.com) and will commit to send weekly check in's for accountability. *
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