Get Fit With Kelly
Getting To Know You & How I Can Serve You

Are you ready to restore balance in your life, decrease stress and have better control over your days?

I know that one of the most difficult things to do when it comes to living healthy is to avoid stressing out about losing weight, exercising and eating better. That's why I invite you to create a new mindset around living happier and healthier. We will focus on daily exercise, simple nutrition and put into practice new habits that will help you manage stress, avoid temptations and create the time for self-care.

If you'd like some accountability, team support and coaching by me I encourage you to fill out this form! I will be in touch within 24 hours. I look forward to getting to know you and hopefully working together in my Empowered Life Wellness Studio.

Read below for more details.

Full Name *
Your answer
Email address *
Your answer
Phone # *
Your answer
What is your Instagram Handle or Facebook Name
Your answer
What are your current fitness & nutrition goals? *
Your answer
What is your biggest struggle (check all that apply)? *
When it comes to your Nutrition which best describes you? *
When it comes to Fitness, which best describes you? *
When it comes to Support, which do you prefer? *
Have you ever tried Shakeology? *
I’m also interested in
Are you willing to invest in yourself in order to change your life? *
Have you ever worked with a Beachbody Coach before or joined another Beachbody accountability group? *
Why do you feel like working with me would help you achieve your goals? *
Your answer
Are you interested in learning more about the coaching opportunity and how you can get paid to get fit and help others do the same? *
What's the best way to send you details? *
How did you you find me? *
Is there anything else you'd like to share with me?
Your answer
Stay connected with me by joining my free Facebook Community "Stress Free and Balanced Life":
Would like to take a free health assessment and receive a 20 minute consultation call with me? NOTE: this is the best way to customize a fitness and nutrition plan for you! *
Use this link to schedule your FREE 1-on-1 call with me. Once your call is scheduled, you will receive a health assessment form. Be sure to take 3 minutes to fill it out BEFORE our call. (NOTE: once you schedule your appointment, be sure to come back to this page to submit your health assessment):
If none of the times listed work with your schedule, please provide me with some options and I'll see what I can do to fit you in.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service