VIP Access Health Survey
My VIP community is 100% complimentary with lifetime access.
My focus is on making lifelong lifestyle changes, so it's important I get to know your needs, goals and preferences.
Please fill out the form below and I will get back to you within 24-72 hours with a recommendation, full details and your next steps.
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First and Last Name
Current Fitness Level
Are you a Beachbody on Demand member?
Yes, I have an active BOD membership.
I have been a member in the past, but not currently.
I have never been a BOD member.
Have you ever tried Shakeology?
I have never tried it.
I have in the past, but am not currently using it.
I drink it every day.
Do you have a Beachbody coach?
Angie, you are my coach.
I do not have a coach.
I think I might have a coach but I'm not working with him/her.
I have a different coach who I work with regularly.
I am a coach.
What is your favorite workout style?
How long would you prefer to workout each day?
45 minutes-60+ minutes
How is your home internet connection?
works fine most of the time
On a scale of 1 to 10, how would you rate your nutrition?
What equipment do you already have? (Ex. resistance bands, weights, yoga mats, medicine ball, etc)
Current Struggles (Check All That Apply)
not eating enough veggies/greens
Do you have any injuries, workout restrictions or limitations?
Are you _______?
no dietary concerns or restrictions
What are your health & fitness goals?
What is your motivation? WHY do you want to achieve these goals?
Please describe your current workout routine and the results that you're getting.
What do you feel is stopping you from getting the results that you want?
Anything else you'd like me to know?
When do you want to get started?
Thank you for your responses! Are we friends on Facebook yet?
If not, send me a request so I can message you directly there and you can message me with any questions:
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