Bodacious Body Cleanse Application

Thank you for your interest in the Bodacious Body Cleanse! To ensure this program is the perfect fit, please complete the following application questionnaire. Your honest responses will help us determine if you're ready to begin your transformation journey.

Full Name *

Email *

Phone *

State *

Transformation Readiness

On a scale of 1-10, how would you rate your current energy levels? (1 = Completely depleted, 10 = Boundless energy) *

How would you describe your current relationship with food? *

Have you tried other health/wellness programs in the past? If so, what were the results and why do you think they didn't stick? *

What is your biggest struggle when it comes to your health and wellness? *

What does your typical daily routine look like? How much time do you currently devote to self-care activities? *

What would achieving this transformation mean for you and your life? *

On a scale of 1-10, how committed are you to doing the work required to achieve your transformation goals? (1 = Not at all committed, 10 = 100% committed) *

What does your ideal transformed state look, feel, and think like? Describe your vision in detail. *

Logistics & Expectations

Are you able to dedicate 20-30 minutes per day to complete the program activities? *

Yes

Do you have reliable internet access and the ability to participate in virtual coaching calls? *

Yes

What is your main motivation for applying to the Bodacious Body Cleanse at this time? *

Is there anything else you'd like us to know about your current situation or goals? *

By submitting, I am expressing my interest in being considered for The Bodacious Body Cleanse Program.

I understand this submission does not obligate me to join or make payment. If I am accepted and choose to join, I am fully committed to doing everything necessary to maximize the experience and get 100% from our time together.

By applying, I also consent to receive SMS notifications—message and data rates may apply. If I ever need to unsubscribe, I can reply STOP at any time.