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Name
(required)
First
Last
Age
Mobile
Email
(required)
I am looking to improve:
Physical Appearance
Nutrition
Mindset
Overall Health
All round Body Transformation
All of the above
What are your biggest challenges right now?
Motivation
Diet
No plan, structure, or routine
Struggling with my Mental Health
No time to train and focus on myself
Other
All of the above
How many times a week are you currently exercising?
Once a week
Twice a week
3 times + a week
I'm not exercising at all
How would you currently rate your diet?
Very good
It’s good 80% of the time
During the week it’s good, weekends I really struggle
Very average
My diet is terrible
Do you enjoy building new healthy habits?
Yes
Never tried
No
Do you find it valuable to be part of a like minded community to stay accountable to reach your goal?
Yes, very valuable
Valuable
Take it or leave it
No, community doesn't matter to me
Do you find it easier to achieve your goals when you have a coach and a structured plan?
Yes
No
Never had a plan or coach
Do you believe it is inspiring to hear first-hand from industry-specific thought leaders on how they built their career paths to success so you can apply the same principles to your self-growth?
Yes, this inspires me and would live to hear more
No
Third Choice
Are you ready for serious change to improve your life?
Yes, 100% Ready
I’m a little nervous but I need change
I think I’m ready
No, I’m not ready
Submit
Thank you for taking this Life Audit, this is your first step forward to achieving the life you deserve.
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