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PostGlo Application
Are you ready to feel more in control of your own and your family's nutrition & wellness? If you're ready to feel calm, prepared and in the drivers seat of your wellness journey, please take some time to fill out this application below. We will reach out within 72 hours to schedule an Exploration Call where we can learn more about each other and we can tell you more about our services!
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First Name
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Your answer
last name
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Your answer
Email
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Your answer
Phone number
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Your answer
Instagram handle
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Your answer
How did you hear about us?
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Your answer
Over the last year, how much money have you spent on your overall nutrition & wellness? (specialists, trainers, doctors, supplements, coaches)
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$0-$1,000
$1,000- $5,000
$5,000 +
What brought you here? Why did you reach out to us for help?
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Your answer
Why NOW? Be specific.
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Your answer
What is your main goal in reaching out to us?
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Your answer
What is preventing you from reaching that goal?
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Your answer
What would your life look like in 1 year, 3 years or 5 years from now if you continue living the way you are?
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Your answer
When was the last time you felt confident? How does that make you feel?
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Your answer
If we decide that we are a good fit for each other, is there anyone else that you'd like to have on the call in order to make a financial commitment?
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Yes
No
Are you able to financially commit to an investment in YOUR nutrition & wellness at this time?
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Yes
No
Which insurance carrier do you have?
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Your answer
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