Wufoo
LEAD Happiness Challenge Application
I'm excited to get to know you and figure out a game plan to help you reach your full potential! Please fill out the following to be considered for my next challenge group! xoxo Breezie
Name
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First
Last
Email
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Facebook URL? (Ex. facebook.com/breezie.bitter)
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Instagram Name
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Do you currently have a Beachbody Coach? If YES, please give the name of the coach.
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I want to get to know you!!! Do you have a family? What do you do for work? What do you like to do for fun?
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What is it about a Challenge Group that interests you?
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Daily Accountibility.
Support and motivation from my peers.
Support and motivation from a coach.
People to believe in me.
Reaching my goals.
Gaining tips and resources from others.
Becoming a better, happier, healthier person!!
What do you struggle with most when it comes to your personal fitness and nutrition?
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Do you currently have a Beachbody Program? Check all that apply.
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No, I do not.
I own P90X and/or P90X 2
I own Insanity
I own T25
I own TurboFire and/or ChaLEAN Extreme
I own Brazil Butt Lift
I own Slim in 6
I own a different Beach body program that is not listed.
Have you ever tried Shakeology?
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I never tried Shakeology.
I have tried Shakeology but am not currently drinking it.
I currently have Shakeology but am not drinking it on a regular basis.
I drink Shakeology every day!
What are your health and fitness goals for the next 60 days?
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One of the most important aspects of my Challenges, even above the weight loss, is the mental breakthroughs that occur! There are MANY ways to lose weight... but there is ONLY ONE WAY to KEEP it off... and that is by making a shift in the way you THINK about both nutrition and exercise... and MOST importantly, the way you think about YOURSELF and your potential!
So, my question to you is this... Where are you at currently in your life and WHY are you READY and WILLING to do what it takes to CHANGE!? *
Is there anything else you would like me to know before I make my final selections for my next group?
I will be in touch with you within 48 hours of receiving your application!
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