New Customer Profile
Hi there! I'm so excited you have decided to make a healthy change! This form is going to help me get to know you better along with your needs to help you reach your goals. Can't wait to get started!
Please list your health goals below: (ex/10 pound wt loss, toning, decrease blood pressure etc...)
Select the following that best describes you:
I have started many programs and just quit early
I find it easy to do the workouts, but have a hard time with my food choices
I have a hard time motivating myself to do my workouts
I need accountability and need a little push to get me going
What keeps you motivated?
Knowing someone is going to check in with me
Check All That Apply
I have never done any Beachbody program before
I have tried a program and quit
I am currently on Shakeology daily
I am willing to do both Shakeology and the fitness program knowing I will get my best results this way.
Is there any problem area you want to target? If so, what?
Last of all please tell me a bit about yourself. Are you interested in more one on one help or in a group setting? What are your hobbies/likes?
Do Not Fill This Out