You Are One Step Closer To Getting Healthier! Please Fill Out The Application Below.
First Name
*
Last Name
*
Email
*
Phone
*
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
Tell us a little about your goals, and what you hope to achieve while working with us.
*
On a scale of 1-10, how serious are you when it comes to reaching this goal, and overcoming these struggles?
*
Have you ever worked with an online coach, or personal trainer in the past?
*
Yes
No
No elements found. Consider changing the search query.
List is empty.
Were you referred by someone? IF so, what is their name? (IF no, just leave blank)
What are your primary reasons for wanting to lose weight?
*
Health improvement
Increase energy levels
Enhance self-confidence
Improve mobility
Other
Other (Please specify):
What are your long-term health goals beyond weight loss? (check all that apply)
*
Improve overall fitness
Reduce risk of chronic diseases
Achieve better mental well-being
Increase longevity and quality of life
Other
List any other long-term health goals:
What are some of your biggest challenges you face in reaching these goals?
*
What is your current occupation and how long have you been doing it??
*
Does your spouse or significant other support you? (Meaning they will give you a thumbs up on whatever you decide)” - If you're single - Just answer yes!
*
Yes, I have read and can confrim.
No, I'm not sure if he/she supports my decision
If we are able to come up with a plan that you feel would help you reach your goals, are you willing to give up some unnecessary expenses above so you can invest into your health?
*
Yes! I am ready to make some changes so I can reach my goals
No, I'm not willing to invest into my health and future
This is not another "quick fix" program, but a LIFETIME, guaranteed results coaching program. Are you willing and able to invest in yourself if we can guarantee results?
*
Money isn't a problem, I need results like YESTERDAY!!
I want this enough that I would find the funds or access credit to make this work!
I'm on a pretty tight budget and would prefer free resources for now.
Before your application can be considered, please agree to the following terms: I (applicant named above) agree to be 100% open and coachable during our call. I agree to be fully present on the call, listen intently and be willing to take action! I understand that results TAKE TIME, so I will go into this with an open mind & complete trust in the CCP team and the process it takes to get where I want to be, even if it doesn't look the way (or is in the timeline) I thought it would be.
*
I agree to being open-minded, trusting, and coachable.
I cannot agree to these terms at this time.
We have a "one strike" no show policy. We want to respect your time and ours. Will you show up to your appointment?
*
Yes
No (leave this page)
We Will Review Your Application And We Will Be In Touch For Next Steps.
