Wellness Elevate Discovery Form

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Thank you for taking the time to fill out the following questions prior to your Discovery Session. This will give us a chance to get to know you better so we can focus our time on helping you transform your body and your health the RIGHT way! 💃🏻

To confirm: you're filling this out because you want to learn how to restore metabolism/hormones, shed stubborn inches, boost energy & tone up without feeling guilty for eating your favorite foods so this is the LAST COACH you’ll ever need? 🙋‍♀️

All of your information is confidential and it should take no more than a couple of minutes, so let's go!

Email *

Name (First and Last) *

Which of the below best describes your goal in working with the Metabolic Momentum Method? *

I want to lose at least 15+ lbs of stubborn fat, regain the energy I once had, and feel fit and confident again

I want to lose body fat, tone up & no longer be attached to the number on the scale

I want to stop feeling consumed by food & guilt for the foods I eat

I want to lose some weight & feel more confident in my skin + regain a healthy relationship with food

I have no clue but I know I need to invest in my health and personal growth

What makes you interested in the Metabolic Momentum Method? Why is it compelling for you to have a 1:1 coach? *

Because I've followed you for a while and witnessed the amazing success stories. I hope to be your next success story

Because I want to utilize a proven method that will address the underlying reasons why I can't seem to lose the weight on my own. Understanding my body & mindset.

The support, systems and strategy of you and your team allow me to fully trust it will be the last program I ever need

All of the above

I am not very familiar with Wellness Elevate results or the Metabolic Momentum Method, but I would love to learn more

How much have you invested in the past in trying to solve this problem? *

What do you do for work? Knowing what you do for a living gives me context as to stress levels and understand what kind of obstacles we will be up against *

Have you ever worked with an online coach or personal trainer in the past? *

Yes

Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, healthy and personal growth? *

Yes I have a significant other, and they are supportive AF

Yes, I have a significant other, but this is my decision to make

Yes, I have significant other, but they may need to be on the call with me to make this decision

No, I'm single and make my own rules LOL

If you were to find a way to reach your goals so you can feel confident and KEEP your results for life, making this the last coach you'll EVER need....would you be willing and able to invest in getting the help necessary to get there? *

Yes, I have the cash flow to invest in myself

Yes, I may or may not have the cash flow but I'm resourceful and/or have access to credit so I will make a plan if this is important to my health

No my cash flow is month to month and I have no access to credit, I can't see a way to make it work

On a scale of 1-10, how committed are you to solving your problem once and for all? (1 being Not At All & 10 being Yes, Let’s do This!) *

What is your phone number so I can confirm our Zoom call via text message when booking your call *

A copy of your responses will be emailed to the address you provided.

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