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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!
Email address
First Name
Your answer
Last Name
Your answer
Do you currently have a coach?
I live in...
City/State
Your answer
Facebook URL (If you have one!)
Your answer
Phone Number
Your answer
Do you currently own a Beachbody Program? (Check all that apply)
Have you tried Shakeology?
What are your fitness goals? (Check all that apply)
Required
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?)
Your answer
Give examples of what you typical eat for Breakfast, Lunch, and Dinner each day.
Your answer
What do you feel is your biggest challenge with obtaining results you desire? (Motivation, Support, Discipline, Time? Be specific)
Your answer
Do you have a lot of stress in your life from work/personal life?
Your answer
What motivates you to want to live a healthy life?
Your answer
WHY do you want to join this support group (other than to lose weight or build muscle)?
Your answer
Anything else you would like to share before selections are made for this group?
Your answer
When are you prepared to get started?
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