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RISE & THRIVE: Application Form
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Email
*
Your email
First and Last Name
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Your answer
Email Address
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Your answer
What's going well for you in your health and fitness?
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Your answer
What is your biggest challenge when it comes to health and fitness?
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Your answer
What are you hoping to get out of this program? What outcomes do you want to see?
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Your answer
What is your current fitness level?
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I don't workout at all
1
2
3
4
5
I work out most days
Do you know that you get a discount (5 - 15% off) when you sign up with a friend? Is there somebody you can ask to do this program with you?
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Yes
No
Maybe
Other:
Our 12-week program includes live group calls as well as one personal coaching call/month. We do have a VIP upgrade where you get additional coaching calls and accountability. Are you interested in this option?
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Yes
No
I'd like more information
Other:
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