First Name
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Last Name
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Email
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Phone
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What's your IG/FB handle?
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Age?
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What are your health & fitness goals? Lose weight? Be happy and healthy? Tone up? Build muscle/ strength? Overcome depression and anxiety? Fix gut and hormone problems? Manage stress? Be more confident? etc. (Explain in depth)
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On a scale of 1-5, how ready / committed are you to changing your life right now? (1 being "not ready at all" and 5 being "I'll do anything to change my life")
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1- I could put this off for awhile
2
3
4
5- I want this change now!
Were you referred by anyone? If so, please write their name
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The purpose of this call is to figure out if you're a good fit for RouxFit & Nutrition. Part of that is knowing if you're ready to make an investment in yourself. If you are not ready to make an investment at this time, that's okay, but this likely won't be a good fit for you right now. We work with individuals who are 100% ready to invest. If you are accepted and in 6 months I told you could lose the unwanted fat + keep it off, build confidence & habits, and gain the knowledge that can sustain you for the rest of your life, would you be willing to invest $375-$600/month to have these life-changing results? (Please note, we offer flexible payment plans that make most budgets work and are willing to get creative to make it a reality for you!)
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I have the means/finances to invest in my health
I'm willing to investing if I know the program will provide results
I'm not in a position to invest in my health
Do you need to discuss this investment with your significant other before making a commitment?
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No, I have my own finances/ their support
Yes, they need to be involved
Complete