Application/Pre-Call Form

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What is your first and last name?

What is your phone number?

what is your email?

What are the health and fitness goals you are trying to accomplish?

How long do you think it will take you to hit your goal? *

What has been your biggest challenge to reaching your goals?

What have you already tried to reach your goal?

On a scale of 1-5, how ready are you to make this goal a reality? 1 being not ready and 5 being very ready.

Will you need a significant other involved in your decision making or are you able to make that decision on your own? Totally cool if so! We can do joint calls as well.

We offer different payment options and terms. We try to work with everyone individually.

If we can come up with a plan in terms of payments or financial options, and you feel like we can help you reach your goals, do you feel like you are in a place to invest in yourself and your health?

I am fully ready to take this next step in my life, invest in myself, and reclaim my health

I think so, but I need to talk with someone else before making this investment. I'm open to see what options you have for me

Reaching my goals is not a top priority as of right now/I am not ready to financially invest

Clear selection

How soon are you wanting to get started?

Will you be in a place for your call that you are fully present?

yes

Clear selection

Is there any chance you may have to reschedule before our appointment time? Or will you be able to 100% make that time. Confirm below

Yes. I will 100% be there.

I might have to reschedule.

Clear selection

Were you referred to me by anyone?

yes

Clear selection

What is the first and last name of the individual who referred you?

Submit

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