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Amber's Challenge Group Application
Please provide as much information as possible - and please be honest. This helps me really know how to help YOU, specifically. I am so incredibly passionate about what I do and helping you obtain a healthy mind, body, and soul is fulfilling for me...but I need to know about YOU to get started!
Do you currently have a coach?
Yes, you are my coach!
No, I do not have a coach.
Someone else is my coach.
I live in...
Facebook URL (If you have one!)
Do you currently own a Beachbody Program? (Check all that apply)
INSANITY, INSANITY ASYLUM, INSANITY ASYLYM VOL. 2
CIZE / COUNTRY HEAT
BRAZIL BUTT LIFT
LES MILLS PUMP / COMBAT
P90X / P90X2 / P90X3 AND/OR 22 MINUTE HARD CORPS
BODY BEAST / HAMMER & CHISEL
21 DAY FIX / 21 DAY FIX EXTREME
Have you tried Shakeology?
I have never tried Shakeology.
Yes, I have tried it but I am not currently drinking it.
I currently have Shakeology but I am not currently drinking it.
Yes! I drink Shakeology everyday!
What are your fitness goals? (Check all that apply)
Lose 10 Pounds
Lose 20+ Pounds
Lose 30+ Pounds
Prepare for competition/marathon
What do you currently do for exercise? Please be as detailed as possible (Ex: weights? cardio? How many days a week? Level of intensity? Are you seeing results?)
Give examples of what you typical eat for Breakfast, Lunch, and Dinner each day.
What do you feel is your biggest challenge with obtaining results you desire? (Motivation, Support, Discipline, Time? Be specific)
Do you have a lot of stress in your life from work/personal life?
What motivates you to want to live a healthy life?
WHY do you want to join this support group (other than to lose weight or build muscle)?
Anything else you would like to share before selections are made for this group?
When are you prepared to get started?
Please complete the captcha before submitting the form.
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