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Vibe Lifestyle System Pilot Project
Name
*
First Name
Last Name
Email
*
Birithdate
*
MM
DD
YYYY
Weight
*
Height
*
Check which goals apply to you
*
Weight-loss
Exercise consistency
Better relationship to food
increase strength and endurance
learn how to create your own workouts
learn how to exercise properly
learn proper form
find out what food is best for you
Find out how to improve digestion
increase energy
increase mental clarity
feel more positive
create more freedom around food
improve posture
improve sleep
learn how to manage stress
lose inches
love what you see in the mirror
If you could wave a magic wand and have anything you wanted in 90 days what would that be?
*
Why is this important to you?
*
Are you willing to do before and after photos?
*
Yes
No
Are you willing to commit completely to this program and give positive but honest feedback?
*
Yes
No
Could you start March 18th, 2019?
*
Yes
No
Thank you!