Step TWO
APPLICATION QUESTIONS
1. What is your age?
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2. What do you do for work?
*
3. Which of the following best describes your body and hormones right now?
A I eat well and work out, but my body is not responding like it used to.
B I feel inflamed, puffy, or uncomfortable in my body.
C I’m in decent shape, but I want elite level results.
D I’m frustrated and tired of guessing what my body needs & I need a solution ASAP!
4. What have you already tried in an effort to fix this? Select all that apply.
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A Personal trainers / Gym membership
B Restrictive dieting
C Hormone or weight loss medications
D Cosmetic or surgical procedures
E Other
5. Why NOW? Please share your motivation for starting this program at this time.
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6. GloFit by Jennifer Mancini is an exclusive, concierge coaching program designed for women who are ready to invest in lasting transformation. This is for high-achieving women who prioritize their success and are prepared to make a sustainable investment in themselves– starting at $150 per week.
A I personally earn six figures or more and I’m ready to invest.
B I’m part of a high income household and prepared to invest.
C I’m looking for something cheap & "one size fits all".
7. Full Name
*
8. Email
*
9. Phone
*
10. By Clicking "I accept" You grant us permission to confirm your appointment via email and text. You will be able to opt out at any time1.
A I accept
B I don’t accept
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