The 5 Percent Community Application

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Thank you for your interest in joining!

The 5 Percent Community is my 12-month, signature sustainable weight-loss transformation to lose the weight you’ve been struggling to get rid of AND maintain that weight loss permanently.

The 5% Community includes a synergistic blend of coaching, accountability, support and a clear roadmap to your weight loss goals. Even more importantly, you will receive a proven path to feel, look, and be your best.

If you're ready to break free of negative food relationships and gain empowered control in your diet and life, with the invaluable support of an experienced, Registered Dietitian and coach, then please fill out your details below.

Email *

First and Last Name *

How did you hear about The 5% Community? Check one and if referred by a person, please share his or her name in the “other” answer box. *

Instagram

Facebook

Screw The Scale Podcast

Paul Salter YouTube Channel

Paul Salter Email

Other:

Required

Why are you applying to join The 5 Percent Community? *

Briefly tell me more about your weight loss / regain history... *

At what weight were you last most happy AND why were you so happy? *

Which of the following is most true for you? *

I recognize the importance of self care and make time for it daily

I try to engage is self-care, but it’s hard to treat myself without having a good reason why

I wish I had time for self-care, but life just gets in the way

Self-care is selfish and I only tend to myself if I’ve taken care of everybody else first

Required

How much are you willing to invest in your transformation and ability to lose weight and keep it off for good? *

$0 - $1,500 USD

$1,500 - $3,000 USD

$3,000 - $4,500 USD

$4,500 - $6,000 USD

We are intentionally selective in who we extend an invitation to join The 5 Percent Community. What’s your favorite quality about yourself and why? *

Is there anything else I should know to make our call as productive as possible? *

Some of my clients who have shown interest in the 5% Community ultimately prefer a 1:1 experience of individualized coaching. This is a high-ticket and very limited-space option. If you believe you may be interested in 1:1 coaching, please check the box below so I can address this on our call.

Yes, I'd like to know details about the 1:1 coaching you offer.

FINAL STEP - PLEASE READ CAREFULLY

AFTER hitting the submit button below, you'll be taken to a webpage to book your call with me. Get that done ASAP. This page will also share what to expect on this call. I look forward to connecting with you soon :)

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