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PostGlo Application
Are you ready to feel more in control of your own and your family's nutrition & wellness? If you're ready to feel calm, prepared and in the drivers seat of your wellness journey, please take some time to fill out this application below. We will reach out within 72 hours to schedule an Exploration Call where we can learn more about each other and we can tell you more about our services!
First Name
First Name
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last name
last name
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Email
Email
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Email
URL
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Phone number
Phone number
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Instagram handle
Instagram handle
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How did you hear about us?
How did you hear about us?
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Over the last year, how much money have you spent on your overall nutrition & wellness? (specialists, trainers, doctors, supplements, coaches)
Over the last year, how much money have you spent on your overall nutrition & wellness? (specialists, trainers, doctors, supplements, coaches)
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$0-$1,000
$1,000- $5,000
$5,000 +
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add "Other"
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What brought you here? Why did you reach out to us for help?
What brought you here? Why did you reach out to us for help?
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Why NOW? Be specific.
Why NOW? Be specific.
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What is your main goal in reaching out to us?
What is your main goal in reaching out to us?
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What is preventing you from reaching that goal?
What is preventing you from reaching that goal?
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What would your life look like in 1 year, 3 years or 5 years from now if you continue living the way you are?
What would your life look like in 1 year, 3 years or 5 years from now if you continue living the way you are?
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When was the last time you felt confident? How does that make you feel?
When was the last time you felt confident? How does that make you feel?
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If we decide that we are a good fit for each other, is there anyone else that you'd like to have on the call in order to make a financial commitment?
If we decide that we are a good fit for each other, is there anyone else that you'd like to have on the call in order to make a financial commitment?
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Yes
No
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add "Other"
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Are you able to financially commit to an investment in YOUR nutrition & wellness at this time?
Are you able to financially commit to an investment in YOUR nutrition & wellness at this time?
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Yes
No
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add "Other"
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Which insurance carrier do you have?
Which insurance carrier do you have?
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