Application - Aesthetic Freedom

First Name *

Last Name *

Age *

Email *

Best Number to reach you at? *

I agree to the terms & conditions provided by Aesthetic Freedom by Jules. By providing my phone number, I agree to receive text messages from the business.

Instagram Username *

Facebook URL *

What's your height? *

What is your current weight? *

What interests you most about working with us? *

Who’s your super hero? *(If you could be anybody in the world who would she/he be and why?)

What's your biggest WIN this year, as it pertains to your health & fitness goals? *What are you most proud of?

Tell me more about your current number one struggle. *

How long have you been struggling with this for? *

What obstacle or barrier is stopping you from reaching your goals? *

Tell me more about what you have tried in the the past and have been unsuccessful with? *

Why now? *

What Fitness level? (Where are are you currently in this journey?) *

Expert - Just some fine tuning please

Professional Yo-yo'er - I start i stop I never finish

Send Help Please - I have no idea what I am doing

How many days a week do you currently exercise? *

How many days are your willing to commit to exercising? *

Do you have any current or past injuries? *(If yes, please explain)

What brought you here., to this place right now? *What's your Number One Goal?

Where do you workout? *

Home - Limited Equipment

Gym

Home Gym

How Many Steps do you average per Day? *

Please share a REALISTIC full day of eating, including beverages and supplements. *Explain what you eat, including proteins, carbs and fats. Be trueful. If you eat McDonalds Daily, we need to know.

How many times a day do you eat? *

How often do you eat out a week? *Be truthful

Do you use Door Dash, or something similar vs. cooking? If yes, how many days a week? *

Do you drink alcoholic beverages regularly? *

Yes

No

Do you fall off on the weekends? *

Yes

No

Tell me more about you. What do you do for a living? *

How important is making this lifestyle change? *(10 being the highest and 1 the lowest)

What are you short term(16wks) and long term (6-12 months) Goals? *

Tell me Why you want to work with us? *This is not your average Coaching Program. You have never experienced anything quite like it. We are NOT a blueprint Program. Our programs are customized to you and your specific goals and needs, with a big focus on mindset in addition to Nutrition and fitness. You will experience more connection, communication, tools, and resources than you ever have. However, we can not want this for you more than YOU want it for yourself

How are you approaching this journey? Type or select an option. *

I'm looking to LEVEL UP, not just my health & fitness, BUT my life! I want to live my best life, it's time for ME and I'm ready to make BIG CHANGES to be the BEST version of ME!! Show me how to live my best life - I am READY to make a serious investment in myself

My fitness goals are EXTREMELY important to me! It's TIME to ME FIRST! I'll literally do anything you say to get the results I see your badass Beauties getting !! My budget is $400 - $500

I need to make a change, I am so tired of being stuck but not ready to invest in myself.

Are you the primary decision maker? *

Yep, I am the boss of me and I make my own decisions.

No, this is a joint decision and I have someone I discuss and make decisions with!

Please attach a front photo of your current physique. This must be taken today. (Your photos are protected and confidential.) .

DO NOT cut off your head. Since we cannot see you in person for this application, we need to see the best photo representation. Stand facing a light with the camera set at waist level. Back up so your full body is in the frame. If your photo size is too large, it will not upload. Screenshot it to make it work.

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