To confirm, you are filling this out because you want to learn more about 1 on 1 coaching with The M5 Framework to create body composition results, correct?
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Yes - I am serious and want to learn more about creating long term results
No - I am going to leave this page immediately.
Which of the following best describes your goal with your fitness and nutrition?
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I'd like to feel more confident in my own skin.
I'd like my clothes to fit better.
I'd like to build muscle and get stronger.
I'd like to be healthy and live longer.
I'd like to heal and improve my relationship with food.
What makes you interested in a tailored, personality-based approach though? What makes it more compelling than other options to lose weight?
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Because I'm tired of spinning my wheels with diets that don't work.
I want something sustainable that works specifically for me.
My instinct tells me there's something internally that's preventing me from seeing the results I want.
If you had a personalized system for getting leaner, toned, and fitting better in your clothes... What would your goal be?
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5-20 lbs
20-50 lbs
50-100+ lbs
I don't care about the number, I just want to look and feel better.
The best fitness and nutrition plan is tailored around the individual and your lifestyle. With that being said, do you work an active job or sedentary job?
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Active
Sedentary
It depends on the day
What is your current occupation and how long have you been doing it?
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How much progress are you making with your current fitness and nutrition plan?
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I don't have a plan right now.
It's very slow and frustrating.
Some progress but room for improvements.
Be 100% honest - what do you think is stopping you from hitting your body composition goals?
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If you feel the personalized and metabolic strategy that we map out for you is the right fit for what you're looking for, what is your out-of-pocket budget to invest in your health and fitness?
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$500+ per month (I know it's an investment and I'm willing to make it as long as it delivers the results I want)
$300-$400 per month (I know it's an investment and this is what I feel comfortable with)
$200-$300 per month (I know it's an investment but I have to be conservative)
$100-$200 per month (This is all I'm willing to invest in myself)
First Name
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Last Name
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What's your email address?
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What's your phone number
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Coach Kelsey can only work with 5 new 1:1 clients each month. Why should you be selected?
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Last question - After completion of this application, your information will be reviewed and, if you're accepted into the M5 Framework, we will send you an email. This email will include additional details about programming and the tier you have been accepted into as well as payment options. Will you be able to spend 10-15 minutes reviewing this information and responding to it? We don't want to waste your time or ours.
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Yes - I will 100%
Maybe - I'm not sure if I'm serious
