Destined You Fitness

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Thank you for your interest in joining our on-line Accountability Group!

Tell me a little about yourself and help me understand how I can help you achieve your health and fitness goals :)

It's time to work on you! Let's do this!

First name *

Last name *

Email address *

Facebook Profile Link *

Phone Number *

Can I text this number to check if you received my email response? *

Yes

Where do you currently live? *

Canada

United States

Other:

Click each of the following statements that apply to you *

I have been a part of your Beachbody Accountability Groups

I am currently drinking Shakeology on a regular basis

I have tried Shakeology in the past

I have completed a Beachbody program

I own a Beachbody program but have not completed it as of yet

I have not yet tried a Beachbody program or product

Required

What are your health and fitness goals? *

Do you currently exercise? If so, please explain your routine (ex. weights, cardio, how many days per week? Are you getting results?) *

What does your typical day look like for food and drink? *

What motivates you to live a healthy lifestyle? *

Please check which best describes you *

You are my coach

I have worked with a coach before and am still working with them

I have worked with a coach before but am no longer working with them

I have never worked with a coach

I am a coach

Is there any additional information I should know? *

When would you like to start? *

YYYY

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