Contact Registration Form Name(Required) First Last Email(Required) Cell Phone(Required)(so I can text you once I respond by email)What country do you live in?(Required) What are you interested in?(Required)Check all that apply Download Free Recipe Book Download Free Clean Eating Plan Become a BeachBody Coach Beachbody OnDemand/BODi Live Classes The Ultimate Portion Fix 2b Mindset Shakeology Supplements: Collegen, Energize, Cleanses Check each of these statements that apply to you(Required) I have no tried any of the Beachbody programs I own Beachbody workouts but have not completed them I have never tried Shakeology before I currently drink Shakeology on a regular basis I have been a part of Jamie's Challenge Groups before none of these statements apply to me What questions do you have about the coaching opportunity?(Required)If none, type "none"How do you envision your life in 3-5 years?What interests you the most about Coaching?(Required)Check all that apply Getting In the Best Shape of Your Life Earning Income from Home Need a Challenge or Goal to keep you motivated You miss the team camaraderie of being in a sport, team or club Which best describes your goals as a coach?(Required)Check all that apply Earn enough money to cover my Shakeology and Fitness Program Ear additional income to cover my bills or pay for an extra trip or vacation for my family Build a business to eventually become a full time coach I am ready to be TOP coach and I am willing to do whatever it takes to get there What are your 3 and 6 month Goals For your Fitness and Health?(Required)What Motivates You?(Required)Check all that apply Motivated By Fun and Recognition Motivated by helping others and being part of a cause. Motivated by order, timeliness, facts and figures. Motivated by a challenge, a goal or taking on a leadership role Why did you contact ME about coaching as opposed to another coach?(Required)Would you describe yourself as self motivated, would love to be your own boss, and work from home?(Required) Strongly Agree Agree Disagree Strongly Disagree What is the best way to contact you?(Required) Phone Call Email Text How quickly would you like to get started coaching?(Required) Right Now! Very Soon Not in a rush Are you currently working with a Beachbody coach?(Required) Yes No Other Explain "other"(Required) How did you find me?(Required) My Website Facebook Instagram Pinterest Other Explain "other"(Required) Do you have a Facebook or Instagram profile?(Required)check all that apply Facebook Instagram No, I dont have either Facebook URL(Required) Instagram Handle(Required) Are you currently working with a beachbody coach besides me?(Required) Yes No I was, but I am not anymore. What is your current fitness routine?(Required)Age and Weight(Required) Do you struggle with food prep or planning?(Required) Yes No Sometimes Do you have any injuries I need to be aware of?(Required) Yes No If yes, please explain(Required)What products are you interested in?(Required)check all that apply One year Streaming Fitness Membership ONE Year Streaming Membership, One Month Shakeology, 21 day fix Meal Plan ONE year of streaming, ONE month of Energize non GMO pre-workout drink and 30 days of Recover After workout Protein. Supplements: Pre workout Drink, Recover Protein, Shakeology Boosts, 3 Day Refresh Nutrition Products Only Other Define "other"(Required) Are you interested in more info on becoming a coach for the discount on shakeology or to earn money for inspiring others as well?(Required) Yes No Other Define "other"(Required) Are you READY to go ALL IN- or do you have more questions? Ask below so I can answer! We can also schedule a time to chat..(Required) Yes Not yet, I have questions Not sure, can we chat? What other questions do you have?(Required)Ok! When is the best time can I reach you?(Required)What is your goal weight or fitness goal?(Required) Check all that apply to you(Required) I currently have a gym routine that I love I have no set fitness routine I think I may have gut inflammation I need help learning how to eat correctly What is your current weight, and goal weight?(Required) What diets have you tried in the past? Your answer(Required)What is your emotional or situational trigger for food? Is it time of day, your kids, work, or something else?(Required)Are you interested in working out alongside 2B mindset?(Required) Yes No Eventually... Do you have any food allergies/sensitivities or any injuries?(Required) Yes No Please elaborate(Required) Why does 2B Mindset appeal to you? What goals would you like to reach using the program?(Required)Where do you live? US Canada UK Other Please elaborate which country you live in(Required) Do you struggle with food prep or planning? Shakeology takes the breakfast prep OUT!(Required) Yes No Sometimes Do you have any sensitivities allergies to dairy or other things that I need to be aware of? (I recommend Vegan Shakes for those lactose intolerant)(Required) Yes No Sometimes Please elaborate(Required) What products are you interested in?(Required) Shakeology 7 Day trial- One of each flavor - $35 Shakeology ONE month supply: Options Shakeology PLUS a fitness program of your choice ($10 add on) and FREE 30 days of Beachbody streaming workouts - $140 includes one month supply of shakes, we will work together to figure out your fitness program Other Please elaborate "other"(Required) Do you have any questions?(Required) No Yes Yes, but I prefer to chat What questions do you have?(Required)Great! Whats the best time to reach you?(Required)PhoneThis field is for validation purposes and should be left unchanged. FOLLOW JAMIE Have a quick question? Contact me here Contact Name(Required) First Last Email(Required) Cell Phone Number(Required)Message(Required)By providing your phone number, you agree to receive text messages from Fitness Foodie inc. You may reply STOP at any time to opt-out. Message and data rates may apply. Message frequency varies.
