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Fit, Strong, and Unstoppable Program Application

Hi there! Thank you for your interest in learning more about my Fit, Strong, and Unstoppable Program for women. I’m Dacie and I specialize in helping stressed out and frustrated women like yourself make the necessary lifestyle and nutritional changes required to help you finally achieve and sustain the health and/or fitness results you are looking for!
But before we dig into all of that I would love to learn more about you, where you’re at right now with your health and fitness journey, and more importantly what you are hoping to achieve! In order to do that, please watch the video and complete the application below. Once you complete your application, please look for an email and/or text message from me regarding next steps. I look forward to learning more about you and discussing how we can work together to reach your goals!
First Name
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Last Name
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Email Address
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Phone Number
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Gender
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FemaleMaleNon-BinaryPrefer to Self-IdentifyPrefer not to Disclose
Age
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Under 1818-2930-3940-4950-5960+
Social Media Handle (name) and Platform (eg. Instagram, Facebook, TikTok)
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How did you find me?
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Tell me a little bit about yourself and your health and/or fitness goals (eg. I want to lose 50 lbs, I want to build muscle, I want more energy, I need help managing my symptoms/health condition with nutrition and exercise)?
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If you have a weight loss goal, what is your current height and weight?
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Are you currently exercising, following any type of fitness program, or using any food tracking apps? If yes, what program(s) are you using?
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If you are not using a food tracking app, are you open to using one or using a different method of food tracking such as hand portions and photos?
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Are you looking for an overly structured/strict meal plan, or does something a bit more flexible sound appealing to you?
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What are your biggest challenges or obstacles preventing you from reaching your health and fitness goals?
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Why now? What prompted you to reach out to me for help and finally want to make a change?
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On a scale of 1 to 5, with 5 being the MOST committed, how committed are you to making changes with your lifestyle (eg. exercise, nutrition, sleep, stress reduction)?
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12345
Do you do well with high accountability?
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Do you have any reservations about joining an exercise and nutrition coaching program? If so, please list them here.
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Are you the final decision maker in regards to paying for your program or do you need someone else to make the decision with you? If you are NOT the decision maker, have the decision maker on the phone call with you.
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Working with Bridge Fitness and Nutrition is not FREE. A financial investment is required and we want our clients to be committed and invested. At this time, are you willing to make a premium investment in your fitness/health goals and a coaching program?
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Yes! I can and I am ready to invest in my health!No, I cannot invest in my health at this time.Maybe, I need more information please.
Are you interested in learning about any of the following payment or financing options?
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Paid in Full with bonuses
Monthly Payment Plans with 0% interest
PayPal Financing
Affirm Financing
HSA/FSA
If we decide we are a good fit to work together during our quick phone chat, will you be ready to start in the next 30-60 days?
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Yes! I'm ready to get started yesterday!No, I need more timeMaybe
By checking the boxes below, you consent to receive SMS and email messages from Dacie / Bridge Fitness and Nutrition at your provided contact phone number and email address. Message & data rates may apply. SMS and email frequency varies. You can unsubscribe at any time by replying “STOP” or by clicking the unsubscribe link in the email.
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Yes, I consent to receiving SMS messages.
Yes, I consent to receiving email messages.

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