Fitness After Party
Thank you for your interest in joining a "Fitness After Party" 30 Day Challenge!

We are excited to help you live a Fit - Fabulous - Free life.

Please answer the questions below so that we can determine the best support path for you.

I've been helping people since 2011 get started (and maintain) healthier, happier lives.

I look forward to helping YOU too!

Name: *
Your answer
Cell Phone: *
Your answer
Email: *
Your answer
Which Beachbody Program are you interested in doing? *
Your answer
Will you be drinking Shakeology for this challenge? *
Would you like information on any of the Performance Line Supplements? *
How much weight are you looking to lose? (If any) *
What is your reason(s) for wanting to do this challenge? *
Describe any health issues that you have, medications you are taking, etc.
Your answer
Why have previous weight loss/healthier lifestyle attempts failed? *
Your answer
What plans do you have to overcome future pitfalls? *
Your answer
List 3 words that describe how you currently feel: *
Your answer
List 3 words that describe how you want to feel: *
Your answer
Is there anything that will prevent you from fully committing to this challenge? (Including the meal plan & workout calendar) Such as business travel, vacations, holidays, etc. *
If yes, please explain.
Your answer
What are your expectations of us as your coaches? *
Your answer
Do you have an outside support system? *
Spouse, friends, co-workers, other family members, etc.
How would you like us to contact you should we see a decrease in participation from you in the group? *
Are you interested in hearing how you can get paid by inspiring others on your journey? *
Comments/Questions:
Your answer
Daphne Walter ♥
Star Diamond Coach
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