P90X: Dust of the DVD's Challange

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Email *

Phone Number: *

When is your birthday? *

YYYY

Name (First & Last) *

Did someone refer you to me? If so, please share their name with me so I can thank them personally. *

If you knew you would not fail, where would you ideally like to see yourself in 3 months? Think physically, emotionally, mentally, life goals, etc. *

Do you have the P90X DVD'S? *

Yes

If not, which ON DEMAND option would you like? (this includes P90X PLUS an entire library of other fitness programs...think of it like Netflix for workouts)

3 month subsciption $39

6 month subscription $59

12 month subscription $99

Clear selection

Which P90X challenge group dates are you interested in ENDING 2019 STRONG with? *

October 14 - January 11

November 11 - February 8

What are your health & fitness struggles currently? Please be specific. (Address digestive health, energy level, any weight loss/gain goals, hormonal balance, pain, inflammation, etc) The more details the better.

Please rate your energy level. *

You can barely get out of bed

You don't drink any stimulants and have vibrant energy all day

Please rate your digestive health. *

Poor

Flawless

Please rate your stress level. *

Unbearable ,Constantly stressed

You're on a beach relaxed

Please rate your quality of sleep . *

HORRIBLE. I get 3-5 hours of sleep/night

Amazing! I sleep like a baby 8+ hours each night

Please rate your level of confidence in yourself and your ability to be successful. *

I don't believe I'll ever be successful

I KNOW I will be as successful as I want to be. I feel it in my bones!

What are your biggest barriers to reaching your goals right now? Why have you not been successful in the past? *

Give me a glimpse into your nutritional habits. What do you eat normally? Have you ever struggled with being an emotional/stress eater? Are you a chronic dieter? Do you feel guilty when you splurge? Do you have good self control when it comes to junk food/sweets? Any specific cravings? *

Which Nutritional approach do you feel you'd benefit from more? *

A program with more structure. You'd be told exactly how many portions of each food group to eat every day based on your goals and starting point. It would include training on the reasons why we crave certain foods, why we use the macronutrient breakdown we do and why portion control is important to be successful in your goals.

A program with more flexibility. With this approach, you could make it work even while traveling or eating at restaurants because you'll learn how to plate each meal. There are no food lists or counting involved. It is created especially for those who have a negative relationship with food such as emotional eating, stress eating, chronic dieters, or those who starve & binge. It's a shift in mindset more than anything. You'd learn how to say YES to the right foods instead of focusing on saying no to the wrong foods.

I'm not sure

Other:

What is your current fitness level-- beginner, intermediate or advanced? *

Would you be interested in doing a 3-Day Cleanse to jump start your metabolism and help banish belly bloat? *

Yes

Maybe

Please check which fitness equipment you have at home. *

Dumbells

Aerobics step

Pull Up bar

Exercise bands

Yoga Mat

Other:

Required

Are you interested in Energize (Plant based pre-workout/energy booster) *

Yes - Lemon

Yes - Fruit Punch

Maybe

Other:

Are you interested in Recover (BCAA's) *

Yes - Chocloate

Yes - Orange Creamsicle

Maybe

Other:

Are you interested in Beachbars? (Our clean-eating Protein snack bars) *

Yea - Chocolate Peanut butter

Yes - Chocolate Cherry Almond

Yes- Both Flavors

Maybe

Other:

Are you interested in Collagen scientifically proven to improve skin, nails + hair in just 30 days? *

Yes

Maybe

I usually recommend my clients' start with a powerful foundational supplement called Shakeology. It is an incredibly nutrient dense formula that supports the body in several capacities with over 70 superfoods per serving. What flavor of Shakeology would you like to try first? (Flavors are Vanilla, chocolate, strawberry, cafe latte, greenberry -OR- Vegan flavors- Best for those with digestive sensitivities: Chocolate, vanilla, tropical strawberry, & cafe latte) *

Are you interested in a wholesale/coach membership? (You can register for FREE to get ALL your supplements/goods at wholesale cost with a $15.95 monthly membership fee. Think Costco! Big savings!) *

Yes

Maybe

Are you interested in joining our team of health coaches and building a business of your own? P90X was the foundational program that brought life to the coaching opportunity with Beachbody! *This can be as part-time or full-time as you'd like. We have everything set up for you to help you be successful! Our team is in the top 200 of the company and was named a 2019 Elite team. We know how to make anyone successful (6 figures + potential) who's willing to learn and put in the effort!! *

Yes

Maybe

Anything else you would like to add about your situation? *

Send me a copy of my responses.

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