First Name *

Last Name *

Email *

What's the best phone number to reach you at? *

Where do you want to be in 3 months?

Have you taken any action at all to reach your goals?

On a scale of 1-5, how important is it for you to overcome your struggles, obstacles, and current mindset to achieve your goals?

If we were to work together, what would be the ideal outcome or resolution for you?

What is your annual income?

Have you ever worked with a health coach before? (Lifestyle, personal trainer, online personal trainer, etc):

I operate only from a HELL YES in my life, and everything ELSE is a NO. If we should get on a call and it’s a HELL YES to work together, are you willing to make the investment in yourself to hire a coach?

If we are to hop on a 30-minute phone call, will you be fully present and committed to our scheduled time?

How did you hear about the program? Were you referred by someone? If so who?

I confirm that I want to receive content from Ashtin Seaton and Fiercely Fit using any contact information I provide.

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