I know sharing some of the info on this form can make you feel a little vulnerable, but I can promise you, that you won't regret getting started with me!  
After going through my own struggles with self-sabotage, weight gain and finally weight loss and overall health (and still working on myself daily) I can WITHOUT A DOUBT say that having a coach like me and an accountability group is the best thing you can possibly do for yourself! I've been there. I know what it takes and I am still on this journey WITH you, every step of the way! As well as the others that will be in our private, online group, with us!

My coaching is 100% complimentary! Your only investment is the complete home workout program and nutrition package that is best for you. My goal is helping you achieve sustainable results and making lifestyle changes, so it's important that I get to know your needs, goals, and struggles, which is what this form will help me do! So please take it seriously and answer honestly. I have NO judgment. Remember, I've been where you are. 

Fill out the form below and I'll get back to you in the next 24-72 hours, letting you know if you have been selected. I truly wish I could work with everyone, but I have to make sure I limit the number of new clients I take on, so my clients get the best support and results! I hope you understand!


Again, please take this form seriously and don't rush through it! I won't be picking participants based on speed, I will be picking based on the info you provide! I want to work with those who are ready for change and I need to know your needs, goals and struggles, to decide if what I offer is the best fit for you. I can't wait to chat with you! Let's get better together!

*This group is NOT for those already happily working with another coach or currently a coach themselves (unless you are on my team of FitBoss coaches). US and Canada residents ONLY!
Let's Get Better
 
What is your first name? *

 
What is your last name? *

 
Where do you live? *


 
What is your Facebook URL? *

 
What is your phone number? *

 
Are you a Beachbody Coach? Which can also mean "Discount" Coach. *

     
 
Are you on Team Become The Dream which is Shelly's team? *

     
 
I'm sorry, this group is NOT for those already happily working with another coach or currently a coach themselves (unless you are one of my clients or on my team of TBTD coaches just click GOT IT). Please click GOT IT, if you understand that I need to be your coach or you need to be on my team to proceed!

PLEASE CONTACT YOUR COACH FOR MORE SUPPORT!*


 
Do you currently have a Beachbody Coach which is NOT Shelly? *

     
 
I'm sorry, this group is NOT for those already happily working with another coach or currently a coach themselves (unless you are one of my clients or on my team of TBTD coaches just click GOT IT). Please click GOT IT, if you understand that I need to be your coach or you need to be on my team to proceed!

PLEASE CONTACT YOUR COACH FOR MORE SUPPORT! *


 
What is your email address? This is how I will contact you. *

 
Energy is everything. Tell me how you feel: *


 
Do you like to get physical? Tell me about your weekly physical activity! *


 
What kind of workouts do you typically enjoy doing?  
Choose many as you like! *


 
For the love of food, tell me about your current eating habits: *


 
Tell me what a typical day of eating looks like for you right now: *

 
Any Supplements? *

 
Do you drink/take anything for energy? (coffee, energy drinks etc..) *

 
Tell me how well you slay the stress in your life: *


 
Check all that apply:
Choose as many as you like. *


 
Check any programs you have done:
 
Choose as many as you like. *


 
Do you have Beachbody On Demand All Access? *

     
 
Have you used the 21 Day Fit Container System? *

     
 
How were your results? *

 
Select the best answer for yourself about Shakeology: *


 
How would you rate your satisfaction with your current fitness status? *

5 is awesome!





 
Do you have any other medical conditions or injuries? *

 
On average how much do you eat out per week? *

 
Why are you eating out this much? No shame! I'm just trying to help you the best I can! *

 
How would you rate your current nutrition?
5 meaning you watch your portions and eat clean! *






 
What is your age range? *


 
Check any of the following that apply to you: *


 
Which body type depicts you the MOST right now (ZERO JUDGEMENT HERE). *













 
How would you rate your satisfaction with your body right now? (Be honest. It's ok to want to improve your body, but this group will be helping you improve from the inside OUT!) *

5 hearts = very happy with my current body





 
What do you struggle with the most as far as your nutrition and fitness? *

Knowing what to eat? How much to eat? Time? Injuries? Limitations?
 
What are your health and fitness goals? Having a vision and measurable goals is SO important! *

Please take your time answering this question
 
What's your goal body? Keep in mind YOUR body type and what's realistic. Upload a picture from Pinterest, Google, or maybe it's a picture of you previously. *

if you're 5'2" and have an hourglass figure, you don't want to be striving for a picture online that is of someone naturally thin, no curves, unrealistic thigh gap and 6'1" ;)
 
WHAT or WHO really motivates you to live a healthy and fit lifestyle? *

Who do you admire? Who do you follow? Who do you look to for inspiration?
WHAT inspires you? It could be a friend, public figure, your kids...anything!
 
What's your reason for wanting to make changes now? (Think DEEP here --- your kids, health, family...) *

 
On a scale of 1 - 10, HOW ready are you to make changes in your life, get amazing results, FEEL amazing AND enjoy INCREDIBLE COMMUNITY while you do it?! *











 
I'm afraid this group isn't for you at this time. To make serious, lasting change, you have to be READY for change.


 
Any other information you would like for me to know about you? I'll be in touch within 24 hours of receiving your application! Be sure to check the email you provided. I can't wait to get to know you more! *

Thank you for applying to be a part of this amazing group, I will be in touch soon!
SAVE MY SPOT!
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