First Name *

Last Name *

Phone *

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Email *

To confirm, you are filling this out because you want to lose between 10-25lbs of stubborn fat, regain energy, optimize hormones, build lean & tone muscle + make this the LAST COACH you’ll ever need? *

Yes - I am serious, and want to learn more about reaching my dream body, without sacrificing my life.

No - I’m going to leave this page immediately.

Which of the below best describes your goal? *

1. I want to lose stubborn weight, get my energy back, and actually feel like myself again

2. I want to understand what's going on with my hormones and metabolism, because what I've been doing clearly isn't working

3. I want to feel strong, confident, and at home in my body again

4. I'm not sure exactly what's wrong, but I know something needs to change

What makes you interested in working with our team specifically? *

Because I’ve followed you for a long time, and witnessed the amazing success stories and transformations, and hope to be your next success story!

Because I want to utilize a proven method that will address the underlying root causes of my weight loss issues, instead of being told “eat less, and move more.”

The support, knowledge, and accountability of your incredible team allows me to fully trust that this will be the last program I’ll ever need.

All of the above

I’m new here, but what you teach resonates with what I need!

What is your current occupation and how long have you been doing it?? *

Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth? *

Yes, they are Supportive and onboard.

Yes, Supportive but this is my decision

Yes, They would want to be included in the decision.

Single and independent

Select the things that you spend money on each month, that aren't helping you toward your health and fitness goals? *

Fast Food / Eating Out

Online Shopping

Nails / Hair... more than I NEED lol..

Other random stuff

How much (if you had to guess) are these costing you each month in total? *

Less than $100

$150-250/mo

$300-400/mo

$500+/mo

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? *

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

If you joined AlignU, what would success look like 6 months from now? *

Thank you! By submitting this form, you are committing to a call with our program specialist. Our goal is to bring on women who fit our culture, standards, and who are active participants so please ONLY submit this survey if you are ready to go ALL IN.

Let's Make Sure This is a Good Fit!

Take 2 minutes to fill this out and if it feels aligned, you’ll unlock access to book your call.

Let's Make Sure

This is a Good Fit!

Take 2 minutes to fill this out and if it feels aligned, you’ll unlock access to book your call.

Thank you! By submitting this form, you are committing to a call with our program specialist. Our goal is to bring on women who fit our culture, standards, and who are active participants so please ONLY submit this survey if you are ready to go ALL IN.