Reshape Your Life 2020 Goal Assessment
Your Best Self is much better at handling anything in life, so it's not selfish to focus on you first! And I am here to help you!
I help women lose their limiting beliefs, get healthy, feel strong and regain confidence! Together we select a Program that works for your goals: different workouts, Nutrition courses, Meal plans and/or Supplements... whatever works for YOU,
And for 2020 I am offering TWO NEW OPTIONS**:
1. BRING YOUR BEST BOOTCAMPS: You commit to one 6 week program and just for finishing the program and submitting your before & after pictures you will earn a Special Prize!
2. 21 DAY JUMPSTART: Every month, I choose a handful of women for a small group challenge with EXERCISE OPTIONAL. I will support you, teach you, and give you the tools you need to make this a lifestyle for the long haul! We create a supportive community where we lean in on each other and lift each other up and reshape our lives together!
It's 2020 and this is YOUR TIME! Time to focus on YOU, lose your limiting beliefs and get the results you've been wishing for, but first I need to learn a little bit about you to help with this short goal setting form.
Please answer the questions honestly and to the best of your ability.... the application is a way for me to get to know you, hear about your goals and help you find the right program for you, your goals, life, and budget. After you fill out the form, I will be in touch within 48 hours via email, so make sure you put your correct email!
I'm excited to chat, so make sure you hit SUBMIT at the end and I'll get in touch asap.
**eligibility for prizes and bonus gifts depends on your level of participation
Results of Striving To Live our Healthiest Life!
Name, first and last
What's the best way to reach you?
Text Message (make sure to submit your phone number above)
Instagram or Facebook Name or n/a
Would You Like My Free Clean Eating 101 Guide?
YES! Click to grab it:
What Option Are You Interested In?
Bring Your Best Bootcamp
21 Day Jumpstart
Not sure yet
What are your health and fitness goals for the next 30 to 90 days? What have you been stressing about over the last 6 months? Having a vision and measurable goals is SO POWERFUL - think outside the box of what the number on the scale says.
What City/State/Country Do You Live In? Currently, my Beachbody programs are only available in US/UK/Canada, but I have other options available.
Who Referred You To This Page?
Have You Ever Had a Beachbody Coach Or Account?
YES! You are my Coach!
No, I do not have a Coach or an account
I did in the past but they are no longer coaching or supporting me on my journey
Yes, I am actively working with a Coach: Please contact your coach to see if they are starting a group soon - I don't want to step on any toes ;-)
What is currently holding you back from reaching your goals?
CHECK ALL THAT APPLY
Lack of Motivation
Knowing how to workout for results
Nutrition: knowing WHAT and WHEN & HOW MUCH to eat for results
Lack of support and accountability to stick with it
TIME! I never have enough time
Belief in myself that I can actually achieve the goals I set!
I teach Group Fitness and I just need something for MYSELF!
On a typical Day, how is your Nutrition? NO judgement, this is just for me to get an idea of how I can help you.
CHECK ALL THAT APPPLY
I don't know what to eat (how much food, what type, or where to start!)
I struggle with Portion Sizes!
Emotional Eating! I turn to food when I feel stressed, bored, tired, angry.....
I tend to yo-yo and struggle with sticking to a plan!
I have a solid plan for my Nutrition and am getting results from it.
I feel eating healthy is expensive?
What is your current fitness level?
I can't workout due to injury or illness (please elaborate at the bottom of this form)
What type of workout do you enjoy?
HIIT & Lifting, Crossfit
Insanity/Turbokick/21 Day Fix/Piyo
I need it to be 30 minutes or less
I can't workout right now
What Are Some Of Your Struggles? (Check all that apply)
Need to lose LESS THAN 10lbs
Need to lose 10 - 50 lbs
Need to los more than 50 lbs
High Blood Pressure
Lack of Energy
Excess Belly Fat
Lack of Confidence/Self Doubt
Transitioning out of Ketogenic Diet
How much are you willing to invest in yourself to get healthy?
$75 - $100
$100 - $200
$200 - $500
Price is no objection. I'm ready to change no matter what. I NEED to change.
I am not ready to invest anything into my health & fitness
What Do You Need Most Help With? (Check all that apply)
Overcoming emotional/stress eating
Social support & accountability
PMD: Positive Mindset Development
Here Are Some Available Options
Learn about "A Thousand workouts in your pocket" and the money back guarantee...We have a library of more than 1000 workouts to choose from and stream or download anywhere! Whatever suits your fancy and schedule! PLUS we have 200 cooking shows that teach you how to meal prep for your goals! CAN'T WORKOUT? No worries! We have a Nutrition Only Programs for people who can't or hate to workout.
Nutrition Options: 2B Mindset for Intuitive Eating
Nutrition Options: UPF for Structured Eating
Which Nutrition Program speaks to you?
Ultimate Portion Fix
The Basics that are included
What Program Are You Interested In?
Nutrition Only, Exercise Optional
6 Weeks of The WORK
21 Day Fix Series
Morning Meltdown 100
80 Day Obession
Not sure, I need help finding one
COACHING: Would you like to learn about getting 25% off & how to make an impact and income helping others?
I watched the video below and want to make an income
I watched the video below and want to this for the discount
I watched the video and want to do what you do for extra accountability
I want to watch the video later
I watched the video and I don't want to save or earn money
Invitation to Coaching
Is there anything else I should know about you to best be able to help you reach your goals?
You have the opportunity to win $500 for completing the program and submitting your results plus you have the opportunity to become a Beachbody Challenge Winner and earn additional money for your transformation. If that's something you're willing to work for, I will help you write your story!
THANK YOU! - Remember to click SUBMIT
I'm so excited you stopped by to get the info on my >>Reshape<< Fit Club and I'm ready to help you improve your health, fitness, mindset and manage your stress...together we are going to come up with the right game plan for you! You will have all the tools to guarantee your success! I'll be getting back to within the next 48 hours so keep an eye out for an email, or email me at
Are you ready?!
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