Getting Fit & Healthy with your mind, body, & Soul Application
Please fill out this form and answer to the best of your ability and I will contact you within 24 hours to discuss this opportunity more!
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Email *
Name *
Email Address *
Phone Number *
How did you come across me? *
What is your name on the social media of how we connected? ex. IG, FB? *
Where are you located? *
Are you looking for join me as a customer or a coach (to build a business)? *
Are you interested in a certain program/regimen? *
Required
What specifically are your goals? What are you looking to gain out of this opportunity? *
How is your nutrition currently? How many meals a day do you eat and what types of food? Do you snack and struggle at a certain time of day and do you eat fast food? If so, how often? *
What has you interested in learning more about this opportunity? *
Can you tell me a little about yourself, interests, hobbies? *
Are you currently working on your fitness journey, and if so, what are you doing to achieve your goals? *
Name 3 words to describe your personality. *
Best way to contact you (Phone call, text, email, FB)? *
A copy of your responses will be emailed to the address you provided.
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