Pre-Call Questionnaire

Name *

First

Last

Sex *

Female
Male
Prefer not to say

Email *

Phone *

List two activities you enjoy: one that gets you active and one that you like for relaxation. *

In 3 sentences or less, what is your primary long term goal? *

What is your reason or motivation for achieving this goal? *

Why is this goal important to you?

What area do you struggle with MOST? *

Nutrition
Training and Exercise
Mindset and Motivation
Other

Other: Please Specify

What do you think is the biggest barrier standing in the way of achieving your goal(s)? *

On a scale of 1 to 10, how motivated are you to achieve this goal? *

1: Honestly, this goal isn't that important to me. (I’ll be on the couch if you need me.)
10: This goal means everything to me. (I’m putting on my good sports bra right now. Let’s do this.)

What have you tried in the past that has NOT worked for you? *

Failures are all learning experiences. It's helpful to know what you've tried and failed with in the past.

What have you tried in the past that HAS worked for you? *

List anything that has worked at least a little bit or that has worked in the past (even if it's not working right now).

What is the #1 thing you'd like to achieve in our breakthrough session? *

How much are you willing to invest monthly to reach your goal? *

$200-350
$351-600
$601 -$1000+
Whatever it takes

Last chance! Is there anything else that I should know about you? *

Please take a minute to complete these three quick steps.

Step 1

Step 2

Step 3