Program App — Julie Salter Fitness LLC

Let’s work together

Welcome to JSF Empire! I’m so happy you’re here!

Are you ready to take the next steps and make a real change in your life?

Are you tired of gaining and losing the same weight over and over again?

Are you ready for the very last program you’ll ever need to maintain your results?

You’re in the right place!

Once your form is submitted, I’ll reach out with the next steps to explore our program and see if we can align with your journey!

Name

First Name

Last Name

Phone

Country

(###)

###

####

What time zone are you currently in?

What's your email address?

Elaborate on your current physical goals (ie. nutrition and body).

Help me understand why these are important to you right now?

Describe how you will FEEL once you reach these goals?

What will you be able to do, or experience that you currently believe you cannot? What will you no longer have to deal with?

What do you feel is currently blocking you, or has blocked you in the past from achieving these goals?

What do you feel has been holding you back from achieving your goals?

From your perspective, what are the current struggles in your life that may prevent you from being successful during our time together?

Consider your own habits like, expectations/perfectionism, negative self-talk, self sabotage etc, any road blocks that you feel may come up?

What comes to mind when you think about your health journey up to this point in your life?

What weight loss/nutrition programs/coaches/diets have you tried in the past?

Please include what you're currently trying too. What worked well for you? What didn't?

When do you feel the most triggered by food?

What are the most triggering environments or scenarios you find yourself in? Stressful days, social events, holidays, vacations, etc...

When do you feel the best about your nutrition and food choices?

Please describe these moments emotionally and visually.

Imagine you wake up on Monday morning after spending the weekend splurging on "bad" foods... How do you feel and what do you do?

How would you describe your energy levels day to day?

What positively or negatively impacts this?

Please describe your current exercise or physical activity habits/routine below.

From your perspective, what do you think needs to happen in order for you to feel confident in your body and in your health journey?

Do you feel like you currently have a support system around you?

Please explain why you do or do not feel supported

I want to learn about YOU! Please tell me a little about yourself, what do you enjoy doing in your time off?

If we haven't been in communication already, what's the best way to reach you?

Text, email, phone, Instagram (please add social handle)...

If you feel we align with the vision for your journey, is there anything that would preventing you from taking immediate action on your goals?

Is there anything else you'd like to share that can give me additional insight into your goals, health, nutrition or well being?

Feel free to be completely raw and vulnerable here

Lastly, if anyone referred you to us please put their name below so we can thank them for connecting us!

Let’s work together

Certifications

Support@JulieSalterFitness.com

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