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TRANSFORMATION SESSION FORM
First name
Last name
Email
Phone
Gender
1. Do you want to see improvements to your health and fitness over the next 3-6 months?
Yes
No
2. Do you have any food allergies?
Yes
No
3. How would you like to see your health and fitness improve in the next 6-12 months? (Select all that apply)
I want to lose a few pounds (5-10lbs)
I want to lose a moderate amount of weight (20-40lbs)
I want to lose a significant amount of weight (50+ lbs)
I want to add more muscle to my body
I want my body to look more lean and toned
I want to get stronger
I want to compete in a strength sport
I want more vitality and energy
4. How would you rate your current activity level? (On a scale of 1-10)
5. How would you rate your current diet? (On a scale of 1-10)
6. How serious are you about seeing your health and fitness transform? (On a scale of 1-10)
7. Now let's be honest, what has kept you from achieving your goals?
8. What time of day is best to contact you?
9. What kind of help are you looking for right now?
I want a Do It Myself Solution ($) Just need access to a good facility
I want a Done With Me Solution ($$) Do the work Myself with specific coaching on what to fix
I want the top Done With Me Solution - Money Is Not An Issue ($$$) Do the work Myself with specific coaching on what to fix and heavy accountability support
10. Are you ready to invest in accomplishing your goals TODAY?
Yes! I'm ready to invest in my health
No. I want to stay the same
Submit
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