Youform

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Tired of Not Making Any Progress? Keep Reading.

Hey, I'm Kevin Tejada. I've lost 100lbs myself, and I'm here to help with your journey to lose weight without wasting unnecessary hours in the gym.

But in order to do that, I'll need to know you a bit better.

Important: I'm all about quality, so I have to limit the number of new members I take on.

Disclaimer: If you're under 18 or not financially stable/unemployed, this program isn't for you, so please pass on this application for now.

If this isn't you, click "START" below, and let's get started!

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What's your full name? ^*

First Name ^*

Last Name ^*

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What's your email address? ^*

Email ^*

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What's the best number to reach you? ^*

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What's your age? ^*

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What's your #1 struggle right now? ^*

Explain in detail.

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How long have you been struggling with this? ^*

Number of months/years.

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What sorts of things have you tried in the past that have ultimately failed? ^*

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Are you open to tracking your food intake at all? ^*

Yes, I believe it's crucial

No, I don't think it matters much

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What do you currently do for work, and how active is your job? ^*

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WHY is it important for you to make these changes TODAY? ^*

Dig deep for this one.

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What are your short-term (16 weeks) and long-term (5-12 months) goals? ^*

Be specific and explain in detail.

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How are you approaching this application/consultation call? ^*

Answer with full honesty.

I'm just looking around, and this is one of my options.

I'll do whatever I need to accomplish my weight loss/fitness goals.

My budget is tight, but if the program guarantees results, I'm committed.

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Do you make decisions for yourself? Or do you have a partner who influences your decisions? ^*

I make decisions for myself

I have a partner, but I make health decisions for myself

My significant other and I make decisions together

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On a scale of 1-10, how serious are you about achieving this goal? ^*

1 - Not serious

10 - 100% committed

1 → Less serious

10 → More serious

Less serious More serious

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Thanks for filling this out!

If we're a good fit, you'll receive a message via Instagram, email, or text within the next 48 hours, so be on the lookout!

In the meantime, check out my website for more resources.

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Based on your answers, we would be a great fit!

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Youform

Welcome back! Loading your previous answers...

Tired of Not Making Any Progress? Keep Reading.

On a scale of 1-10, how serious are you about achieving this goal? *

Thanks for filling this out!

Thank you!

On a scale of 1-10, how serious are you about achieving this goal? ^*