Take this survey to pre-qualify for my elite Mastery programs and private coaching sessions via phone, skype or in person.
Email address *
First and last name *
Your answer
City and State *
Your answer
Phone number *
Your answer
What type of coaching are you seeking? *
What do you hope to achieve through my programs and coaching? (what are your goals?) (what are you struggling with?) Be specific please. *
Your answer
When you stand in front of the mirror are you happy with what you see and are you happy deep inside?
Your answer
Do you have any injuries, disabilities, or eating restrictions?
Your answer
Which of these activities do you find most fun?
Do you tend to finish what you start? *
Your answer
On a scale of 1 to 5, 1 being totally happy with your body and life the way it is, and 5 being totally motivated to make a massive change ASAP! How important is it for you to change your life and reach your goals? *
Are you ready and willing to invest in yourself and commit in order to create the change you want to see in your life, body and or business? *
Click submit to finish *
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