Health & Fitness application
I am super excited that you are taking the time to fill this out! I look forward to getting to know you better and have you in my free group on Intermittent fasting! It has been a GAME changer for me - and I can't wait to share all that I've learned with YOU! In the meanwhile, please do not hesitate to connect with me on Facebook with any questions or concerns at any time!
-Your friend & coach,
Email address
Your name
First and last, please!
Your answer
Your email
Do not worry! I do not sell your email! This is purely so I have another way to reach you with vital information as it may arise.
Your answer
Your Facebook url or name
This challenge group is ran on Facebook, so we will need to make sure that we are connecting there, too! You can find me at if you haven't already!
Your answer
Where do you struggle the most? Fitness or nutrition? Or a combo of the both?
Are you familiar with Intermittent Fasting?
I will be sharing information about Intermittent Fasting and all of it's benefits!
What are your fitness and health goals?
Your answer
What motivates you and/or keeps you inspired in reaching your health and fitness goals?
Your answer
Do you have any Beachbody programs or Shakeology?
Beachbody programs include: Piyo, P90X, Insanity, Turbo Jam, 21 Day Fix. Please also include how you received the programs and/or Shakeology (from a friend, online, thru your coach, etc).
Your answer
Are you working with a Beachbody coach?
Where do you live?
THANK YOU for taking the time to fill this out! I will get you added to the group once I see this form is completed! And, if there is anything else you would like me to know about you, please let me know below!
Your answer
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