Fearless February!

Name:*

Email:*

Are you currently working with a Beachbody Coach?*

If yes, I encourage you to continue working with your existing coach.

Yes
No

What country do you reside in?*

USA
Canada

Tell me about your current fitness goals:

Weight loss
Strength Training
Endurance
Flexibility
Balance
Weight gain
Maintenance
Add Muscle
Nutritional support

Expand on your current fitness goals.*

Be SPECIFIC so we can measure your success (i.e. "I want to lose X pounds" or "I want to lose X body fat" or "I want to improve my flexibility so I can bend and touch my toes.", etc.)

Tell me WHY you want to reach your fitness goals.*

Outside of wanting to be healthy...WHY do you want to reach these goals...how will reaching your goals and being healthy make you FEEL?

What steps you have taken to meet your goals? What has worked for you?*

What is your current fitness level?*

Choose the one that best describes where you feel you are today.

Beginner (I have never worked out)
Beginner (I haven't worked out in a while)
Active (currently working out)
Very active (athlete)

Tell me about any limitations or injuries you have that limit your activity.*

Shoulder
Knee(s)
Back
Neck
None
Other

Currently own any home-based workout programs?*

Yes
No

If you answered "Yes" to above question, which programs do you own?*

What kind of workouts do you enjoy doing?*

Check all that apply

How would you rate your nutrition on a scale of 1-5?*

1 being "terrible" and 5 being "fantastic".

Are you interested in jumpstarting your fitness with a 3-Day Refresh (a food-based cleanse/detox)?*

Yes!!
I'd like to learn more about it.
No

Do the people you spend the most time with support your health and fitness goals?*

Yes
No

Are you serious and excited about living a CONSISTENT healthy lifestyle?*

Yes
Not really

What other things can I help you with?*

Check all that apply.

What makes you feel good once you've accomplished a goal?*

Fearless in February!

You deserve it! Make time for yourself and your health!

REGISTER NOW!

Fearless in February!

You deserve it! Make time for yourself and your health!

REGISTER NOW!

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Sign Up for This Amazing Group!