Accountability Group Application Form

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READY TO LOSE WEIGHT HAPPILY AND KEEP IT OFF FOR GOOD!

Group Coaching Application

Join our Sweat + Soul challenge

Welcome and thank you for showing interest in my Group Coaching! Fill out the information below so I can figure out the best plan of action for you

What's your name?

What's your email?

What's your IG handle

What country do you live in?

Are you a coach or currently working with a coach?

Are you willing to INVEST MONEY into your health & coaching?

What GOALS would you accomplish within a year if NOTHING held you back?

What are your health & fitness struggles currently? (I want to know about your digestive health, energy level, weight loss/gain gaols, hormonal imbalance, pain, inflammation etc.)

Please rate your energy levels: (1 you can’t get out of bed - 10 thriving energy all day)

1 2 3 4 5 6 7 8 9 10

Please rate your digestive health: (1 poor - 10 amazing)

1 2 3 4 5 6 7 8 9 10

Please rate your level of confidence and ability to be successful: (1 I don’t believe I’ll ever be successful to 10 I know I’ll be successful, I have zero doubt)

1 2 3 4 5 6 7 8 9 10

What are your biggest barriers to reaching your goals, why have you not been successful in the past?

Give me a glimpse into your nutrition in a day! What do you eat, when and how much, Are you a stress eater? Chronic dieter? Do you feel guilty when you splurge? How is your self control?

Which nutrition approach do you feel like you’d benefit from more?

A program with more structure. You’d be told exactly how many portions of each food group to eat every day based on your goals and starting point. A program with more flexibility. With this approach, you could make it work even while traveling or eating at restaurants focusing on balance I honestly don’t know

What is your current fitness level?

What flavor of my superfood veggie shake interests you most?

Would you be interested in a 3-Day Cleanse to jump start your metabolism and help banish belly boat?

Yes No Maybe

Are you interested in a plant based pre-workout/energy booster?

Are you interested in a Post workout recovery formula designed to help with results?

Yes – chocolate Yes – Orange creamsicle No Maybe

Are you interested in a clean-eating protein snack bars?

Are you interested in joining our team of health coaches and building a business of your own? * This can be as part-time or full-time as you’d like. We have everything set up for you to help you be successful! Our team is one of the top and highest ranked in the company! We know how to make anyone successful whose WILLING to learn!

Yes No Maybe

hey there!

I'm Katie Musicco

I’m an Registered Acupuncturist, a nerd when it comes to nutrition, and my obsession is teaching others how to live healthFULLY (without it taking over their life).