I'm so happy you've decided to explore bettering yourself and your body. This form is designed to give me a gauge of where you are and if you'd be a good fit for the Buddha Body Program! Are you all in?
I'm in!
What is your full name?

What do you wish to be called?

What is an email address where I can best contact you?

Tell me about your overall self care routine.

What does your diet look like?

Do you get adequate rest/down time?

What does your exercising look like?

What do you have the most trouble with in taking care of yourself?

How do you define your spirituality?

Do you consider yourself open minded?

Are there any things you aren't comfortable with that you feel I should know about?

What do you hope to accomplish in working with a coach?

What do you think has held you back from accomplishing all of your goals thus far?

Do you consider yourself a positive, negative or in between type of person?

Do you often quit or leave things unfinished?

Are you a procrastinator?

Why do you want to do this program? Tell me your story.

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