Application for my Virtual Gym & Community
Hey!! I am so happy you're here! Chances are you clicked this form because you are interested in becoming a better you through health and fitness...and that's AWESOME! Please fill out this form below if you are interested in joining my Virtual Gym. This is not your ordinary gym. This is a online wellness community filled with people just like you on their journey to better health, fitness, and overall better lifestyle! It is a great place to feel supported and held accountable too! My team and I work hard to help people eat right, feel better, get healthier, more confident, and SEE RESULTS! We have seen our members achieve results in as little as 21 days ...and with no crazy food deprivation or time commitments!

Please answer the below questions honestly so that I can best support you and we can decide together what would benefit you most! I will contact you with my personal recommendations, all of the details, and your next steps :)

xo michele
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Email *
Full Name *
Current Fitness Level *
How did you hear about my Virtual Gym/Wellness Community? *
Do you own any Beachbody programs? *
Do you have a Beachbody Coach? *
Budget to spend on this health /fitness journey? *
How much time do you have to workout each day *
On a scale 1- 10, how do you rate your nutrition? *
Fast Food Junkie
Very Healthy (no processed foods, very health conscious)
Currently, how often do you exercise? *
What do you currently struggle with? (Check all that apply) *
Required
What are your goals? (ex. I want to loose 10lbs by ____ ; More energy; get my nutrition under control; etc...)
Preferred contact method? *
*Bonus* Are you interested in getting 25% off?
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