Love Life, Live Free Application
Virtual Application
First & Last Name: *
Your answer
Your best email address *
Your answer
Where do you live? *
The next set of questions will help me give you my best recommendation(s) to meet your needs. :) The MORE DETAILED you are with your answers, the better I can help you.
Tell me what you want to accomplish - are you looking for weight loss? increased energy? better digestion? more toning? better nutrition habits? something else? *
Your answer
Is there a specific amount of weight you'd like to lose? If so, how many pounds? *
Your answer
Why is that important to you? What would be different for you if you accomplished those things listed above? *
Your answer
Do you experience any of the following? Check off all that apply to you:
How would you describe your current fitness level? *
I have not exercised in a really long time
I'm an avid exerciser (45+ minutes/day; at least 5 times/week)
What kind of workouts do you love or are interested in trying? Please check all that apply. *
How much time can you realistically devote to exercise most days right now? *
How are you best motivated/inspired? (check all that apply) *
Are you _____________? (check all that apply) *
When do you want to get started? *
How would you categorize your WiFi strength? *
Is there anything else you want to share with me?
Your answer
Please know, I am not a nutritionist or medical doctor. My recommendations that will follow are not a substitute for medical advice. It is recommended that you check with your doctor before starting any new fitness or nutrition program. By checking the box below, you're agreeing with the information above. *
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