Fitness & Health Roadblock Check

Fitness & Health Roadblock Check

Figure Out Why You're Stuck

What's Holding Me Back

When it comes to fitness and health what's your biggest frustration right now? *

I don't have enough energy

I'm inconsistent

I don't know what to do

My nutrition is undermining my efforts

I need accountability

I'm working hard but not seeing the results I want

How long has this been frustrating you? *

Less than a year

1-4 years

5-10 years

I've lost count of the years this has been an issue

What have you already tried to overcome this hurdle? *

Working out on my own

Online programs/apps

Diet or nutrition

Supplements/mean replacements

Personal training

I've written a book about things I've tried

Honestly, not much yet

What's getting in the way of you progressing? *

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If nothing changed over the next 12 months, how would you feel? *

Totally fine; I'm not too concerned

Frustrated

Fed up enough to do something different

Angry, I can't have another year like this

This MUST change

If you solved this problem, what would you most want back in your life?

More energy throughout my day

Confidence in my body

Strength and physical capability

Feeling comfortable in my clothes

Better health habits

More confidence at the gym

Being more active with family/friends

Feeling more in control of my health

Other

Please specify other *

If you could change ONE thing right now, what would it be? *

Would you like Coach Cathleen to personally look at your answers and give you suggestions? *

Yes please

Maybe later

Coach will send you your Roadblock results with suggestions

What's the best way to do that?

First Name *

Last Name *

Phone Number

Email Address *

Welcome!
Please be sure to provide as much detail as possible so I can serve you effectively during your Transformation session.

What is your first name? *

What is your last name? *

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Why have you decided to apply for a Transformation Session today? *

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What is your primary health goal? *

Release Excess Weight

Gain Muscle

Health Vitality

Improve Nutrition

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On a scale from 1-10 how motivated and dedicated do you feel you are to completing these goals. *

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Currently, how have you structured your life, and what changes have you implemented to ensure that you will reach this goal?

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What Are Your Health And Fitness Goals Over The Next 90 Days? *

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HONESTLY, Why Haven't You Reached These Goals Already? *

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Are You Prepared To Invest Financially To Get The Results You Deserve With The Right Guidance And Premium Support From An Expert In The Field? *

Absolutely, if the opportunity is right for me.

No, I don't want to invest in change.

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What's the best email address for you? *

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What is your best contact number? *

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Fitness & Health Roadblock Check

Fitness & Health Roadblock Check

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