You Are One Step Closer To Getting Healthier! Please Fill Out The Application Below.
First Name
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Last Name
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Email
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Phone
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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.
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On a scale of 1-10, how serious are you when it comes to reaching this goal, and overcoming these struggles?
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Have you ever worked with an online coach, or personal trainer in the past?
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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?
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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)
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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?
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What is your current occupation and how long have you been doing it??
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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!
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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?
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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?
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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.
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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?
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Yes
No (leave this page)
We Will Review Your Application And We Will Be In Touch For Next Steps.
