Full Name
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First Name
Last Name
Email (use the same email as appointment booking):
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Occupation
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Phone Number
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(###)
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Age
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Current Weight
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Current Height?
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What is the single most important goal you want to reach right now? Be specific; why is this your goal? It doesn't have to be a physical reason.
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What have you tried in the past and why hasn't it worked for you?
What's stopping you from reaching your goal?
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What's the most powerful and impactful thing I can do for you as your coach?
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Does your spouse or partner support you in this goal? (Meaning they will give you a thumbs up on whatever you decide)
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Yes
No
Not Applicable
This is the most comprehensive fat loss coaching program I know of and my success rate is nearly 100% because I am highly selective about who I work with. I only work with the best, most committed people that are READY to change their life. Why do you think you'd be a good fit for my program and what would you bring to our community of high performers?
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Which of the following best describes you?
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I have no financial resources at all and I'm not willing to invest in my body.
I have access to the financial resources (credit cards, PayPal credit, etc.) and I'm willing to invest in myself for the right program.
I have the financial resources and I'm willing to invest in myself.
We move FAST because I expect my clients to begin seeing results within 3 months. If accepted into the program, can you begin training immediately?
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Yes, I'm ready right away!
No, I need more time.
I will text you before our call to confirm. Will you respond to my text message when I reach out to confirm?
Yes, I'll respect your time and will respond.
No, I don't care about other people.
Maybe, I'm not big on commitments.
Finally, are you excited for the new Mandalorian season??
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