Mariah's Online Health & Happiness Challenge Application

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I am so excited you clinked on this link---- This Challenge Group will provide you will all the love and support you need to be able to help you reach your ultimate health, fitness, and self-love goals!

But the BEST PART--- I am here cheering you on EVERY SINGLE STEP of the way and I am here for you! I am PASSIONATE and on FIRE to help you to DREAM BIG and DREAM BOLD to choose life everyday to live out your wildest dreams!

I cannot wait to get started with you! <3

**This is only for those who are not already working with a coach**

xo Mariah

Email *

Check out my FITNESS Transformation---- Truly my happiness and mental transformation was WAY bigger and cannot wait to share it with you!

First and Last Name *

Email Address

Instagram Name

Facebook Link (Just go to your profile and copy link!)

Where do you live? *

USA

Canada

United Kingdom

Other:

Phone Number

Can I text this number to check if you received my email response?

Yes

Clear selection

What is your age range?

Under 20

20-30

30-40

40-50

Over 50

Clear selection

Current Fitness Level *

Beginner

Intermediate

Advanced

Other

Are you currently working out? *

Yes

Not Consistently

What do you typically eat from the time you wake up to when you go to bed at night? (please include if you are vegan, gluten free, etc.)? *

Currently struggle upon waking up (click all that apply) *

I DONT have a morning routine

I have trouble getting motivated to workout in the morning

I feel tired & lethargic in the morning

Required

Check what applys to you?

I have never tried a Beachbody Program before and never heard of it

I have never tried a Beachbody Program but I have heard of it (i.e. P90x, Insanity, 21 day fix, etc.)

I have a Beachbody Programs but I have not completed it

I LOVE BEACHBODY PRODUCTS and use it regularly

Check what applys to you?

I have never tried Shakeology

I have tried Shakeology but I am NOT currently drinking it

I currently have Shakeology but I am NOT drinking it on a regular basis

I drink Shakeology EVERYDAY!

Am I currently your assigned coach on www.teambeachbody.com

Yes

Maybe

Clear selection

How long would you like to workout each day? *

20-30 minutes

30-45 minutes

45-60+ minutes

What are your current fitness goals? *

Current struggles with nutrition? (Click all that apply) *

Cravings

Accountability

Portion Control

Commitment

Emotional Eater

Self Discipline

Time

Money

Not eating enough veggies/greens

Low Energy

I snack alot

Required

Do you have any injuries or limitations I should know about? *

Do you find yourself getting sore easily?

yes

Clear selection

Do you have any workout equipment at home already? (i.e. resistance bands, weights, yoga mat, etc.) *

I cannot wait to hear back from you! I will email you back in 24-48 hours! You are amazing! You are enough! You are worth it! I cannot wait to pour into you and inspire and empower you to live out your best life! Be Happy, Dream Big, Dream Bold and be ready to live out your WILDEST DREAMS! We are in this TOGETHER!

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