If you're interested in being considered for my SPRING Accountability and Support Group that starts April 2nd, please fill out the form below! I will get back to you ASAP! (Within 24 hours on the weekdays, 72 hours over the weekends).

I know sharing some of the info on this form can make you feel a little vulnerable, but I can promise you, that you won't regret getting started with me!

After going through my own 30 lb weight loss journey I can WITHOUT A DOUBT say that having a coach like me and an accountability group is the best thing you can possibly do for yourself! I've been there. I know what it takes and I am still on this journey WITH you, every step of the way! As well as the others that will be in our private, online group, with us!
Get Started NOW!
 
What is your first name? *

 
What is your name as it appears on Facebook? *

 
What is your phone number? *

 
What is your email address? *

 
Are you a beachbody coach? *

     
 
Energy is everything. Tell me how you feel. *


 
Do you like to get physical?  Tell me about your weekly physical activity! *


 
What kind of workouts do you typically enjoy doing? *

Choose as many as you like!

 
For the love of food, tell me about your current eating habits. *


 
Tell me what a typical day of eating looks like for you right now. *

 
Do you use any health or fitness supplements? *

     
 
Do you drink/take anything for energy?  (coffee, energy drinks, etc) *

 
Tell me how well you slay the stress in your life. *


 
Check all that apply. *

Choose as many as you like.

 
Check any programs you have or have done. *

Choose as many as applicable.

 
Do you have Beachbody On Demand All Access? *

     
 
Have you tried/used the Portion Fix (21 Day Fix) Container nutrition system before? *

     
 
Select the best answer for yourself about Shakeology: *


 
How would you rate your satisfaction with your current fitness status? *






 
On average how often do you eat out per week? *

 
How would you rate your current nutrition? 5 meaning you watch your portions and eat clean! *






 
What is your age range? *


 
Check any of the following that apply to you: *

Choose as many as applicable.

 
Do you have any other medical conditions or injuries? *

 
How would you rate your satisfaction with your body right now? (Be honest. It's ok to want to improve your body, but this group will be helping you improve from the inside OUT!) *






 
What do you struggle with the most as far as your nutrition and fitness? *

Knowing what to eat? How much to eat? Time? Injuries? Limitations?
 
What are your health and fitness goals? Having a vision and measurable goals is SO important! *

 
WHAT or WHO really motivates you to live a healthy and fit lifestyle? *

Who do you admire? Who do you follow? Who do you look to for inspiration? WHAT inspires you? It could be a friend, public figure, your kids...anything!
 
What's your reason for wanting to make changes now? (Think DEEP here --- your kids, health, family...) *

 
On a scale of 1 - 10, HOW ready are you to make changes in your life, get amazing results, FEEL amazing AND enjoy an INCREDIBLE POSITIVE AND SUPPORTIVE COMMUNITY while you do it?! *











 
Any other information you would like for me to know about you? I'll be in touch within 24 hours of receiving your application! Be sure to check the email you provided. I can't wait to get to know you more! *

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