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This form is for my eyes only! It will be completely private. It is to help me better know how to help you reach your goals.  Once you fill this out you will get an e-mail within 24-48 hours! PLEASE send me a friend request @ https://www.facebook.com/Lhauck4 so you can get added to the group! 

As if appears on FB
As it appears on FB
How did you find out about this group? *
What would you like to accomplish long term? *
Are you willing to participate in this group? *
Do you currently have a Beachbody coach? *
Are you willing to sign up for a 2 week free trial to get access to the workouts + meal plan? *
( you will have to enter your credit card but it will not bill you until 14 days so the whole group is free)
Where do you live?