Virtuous Vitality Coaching Application
Thank you for your interest in applying for the Virtuous Vitality Coaching Program. Fill in your details below, which Logan will personally review to make sure you qualify.
Name *
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Email *
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Phone *
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Skype ID *
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What is the #1 result you'd like to get out of our time together? *
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Why is it important to you? *
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What are some other results you'd like to get? *
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On a scale of 1-10 how would you rate your SLEEP? *
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Give a some detail on why you gave your SLEEP that rating? *
Your answer
On a scale of 1-10 how would you rate your MOVEMENT & FITNESS? *
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Give a some detail on why you gave your MOVEMENT & FITNESS that rating? *
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On a scale of 1-10 how would you rate your DIET? *
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Give a some detail on why you gave your DIET that rating? *
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On a scale of 1-10 how would you rate your SUPPLEMENTATION? *
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Give a some detail on why you gave your SUPPLEMENTATION that rating? *
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On a scale of 1-10 how would you rate your DETOXIFICATION & ELIMINATIONS? *
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Give a some detail on why you gave your DETOXIFICATION & ELIMINATIONS that rating? *
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On a scale of 1-10 how would you rate your GUT HEALTH? *
Horrible
Perfect
Give a some detail on why you gave your GUT HEALTH that rating? *
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On a scale of 1-10 how would you rate your HORMONE HEALTH? *
Horrible
Perfect
Give a some detail on why you gave your HORMONE HEALTH that rating? *
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On a scale of 1-10 how would you rate your MOOD & EMOTIONAL HEALTH? *
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Give a some detail on why you gave your MOOD & EMOTIONAL HEALTH that rating? *
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On a scale of 1-10 how would you rate your MENTAL CLARITY, MEMORY & FOCUS? *
Horrible
Perfect
Give a some detail on why you gave your MENTAL CLARITY, MEMORY & FOCUS that rating? *
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On a scale of 1-10 how would you rate your RELATIONSHIP HEALTH? *
Horrible
Perfect
Give a some detail on why you gave your RELATIONSHIP HEALTH that rating? *
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Anything else you'd like to share now?
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