Please answer this quick interactive survey, in order for me to serve you better as your health and fitness coach.
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About You

The information you provide will remain confidential and can not be used to identify you.
 
First Name *

 
Last Name *

 
What is your age range? *


 
What is your gender? *



 
What are your TOP 3 struggles right now as it relates to your health and fitness? *

 
If I handed a magic wand to you, what would you change in your life right now to achieve your health and fitness goals? *

 
Now, what are you willing to do starting today to get there? *

Think about what you want to completely change, the things that makes you unhappy at the moment. Then switch your thoughts on WHAT you are going to do TODAY to feel like a million bucks! ALWAYS write down what you want to change followed with your action steps. GAME ON!
 
Imagine we were to work together for the next 3 months to solve your problems and help you reach your desires in the areas of transforming your health, what specific benefits and results would you expect to receive by the end of the 3 months? *

 
Finally, what would you need to know more about or hear in order to move forward in working with an online health and fitness coach to solve the problems and reach the goals you've mentioned? *

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