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Getting to Know You
After completing this short survey, I will contact you for your free discovery call! Thank you! ~ Aubrey
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Email
*
Your email
Name:
*
Your answer
What are aspects of your health are you interested in improving? Check all that apply.
Weight Loss
Fat Loss
Muscle Building
Mindset Coaching
Nutrition Coaching
Eating Disorder Recovery
Competitions (Bikini Competitions, Pole Dance Competitions
Behavior Change
Creating a Habit that Lasts
Exercise Prescription (workout plans)
Other
How much time are you realistically willing to commit to exercise and healthy eating?
10 minutes per day
20 minutes per day
30 minutes per day
45 minutes per day
1 hour per day
Other
Clear selection
On a scale of 1 - 10, how motivated are you to take action to change your body/mind/behavior?
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4
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10
Clear selection
How important is it to you to have this transformation? (1 = not important at all vs. 10 = Extremely important/I am sick and tired of not getting results)
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5
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9
10
Clear selection
Best number to reach you to set up a free discovery call. *Also list your ideal day of the week and time window.
Your answer
How did you hear about me?
Your answer
What have you done in the past that HAS worked for you?
Your answer
What have you done in the past that has NOT worked for you?
Your answer
What is your ideal vision of health and fitness for yourself? I.e. body type, weight, loving who you see in the mirror.
Your answer
What is your age?
Your answer
Lastly, please describe your current eating habits.
Your answer
Send me a copy of my responses.
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