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* 1. Name

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* 2. Email address

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* 3. Facebook URL

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* 4. Do you currently have a Beachbody coach that you work with? If so, who is your coach?

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* 5. How did you hear about this program?

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* 6. What do you struggle with most when it comes to healthy living? Nutrition, Fitness, Motivation?

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* 7. What does a typical day of eating and fitness look like for you?

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* 8. Do you currently own any Beachbody programs? And if so which ones?

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