What are your goals?
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Name *
Phone number *
E-mail address *
What made you reach out to me?
What are your current health and fitness goals?
Do you own any of the following fitness programs?  Check all that apply.
If so, when is the last time you worked out using that program?
What is your biggest obstacle in regards to fitness?
On a scale of 1-5, how would you say your nutrition is?
I am a health nut
I need a lot of help with my nutrition
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Have you ever heard of Shakeology?  If so, what do you know about it?
On a scale of 1-5, how ready are you to start making the changes necessary to reach your goals?
I'm pretty nervous and uncertain
I am so ready for this!
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