T1DIAL Training App Interest Form

Congratulations On Taking This Next Step In Your Health & Consistency. Choosing To Invest In Structure And Guidance Is A Powerful Move. It’s Normal To Feel Unsure, Hesitant, Or Even Nervous. Growth Begins The Moment We Decide To Commit And Show Up For Ourselves. Let’s Move Forward With Purpose 💪🏼  

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Email *
What is Your First and Last Name? *
What is Your Phone Number? *
What Is Your Instagram Handle?
What Has Been Your Biggest Challenge To Reaching Your Goals? *
On a Scale of 1-5, How Ready Are You To Make This Goal a Reality? *
(1 = Just Exploring; 5 = Fully Committed)
Just Exploring
Fully Committed
How Soon Would You Say You're Wanting To Get Started? *
How Do You Typically Do With Following A Structured Plan On Your Own? *
Struggle Without Direction
Extremely Well
  What Are You Most Hoping App-Only Coaching Will Help You With?   *
Required
What Is Your Current Weight? *
What Is Your Current Height? *
What Is Your Current Age? *
Are You... *
Have You Been Consistently Strength Training In The Last 3 Months? *
  App-Only Coaching Is Designed For People Who Want Structure Without Weekly Calls. Does That Feel Like A Good Fit For You Right Now?   *
  What Does “Success” Look Like For You Over The Next 90 Days?   *
Were You Referred To Us By Someone? *
  What Is The First & Last Name of The Individual Who Referred You?  
  Is There Anything You Feel Has Held You Back From Staying Consistent In The Past?   *
Congratulations From T1DIAL Training CEO!
A copy of your responses will be emailed to the address you provided.
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