LQ Support Intake Form

Congratulations!

You're one step closer to feeling like yourself again.

If you're serious about improving your metabolism & hormones so your energy, weight and mood stop feeling like a constant battle, this is where it starts.

Complete this short intake form so we can see if we’re the right fit to support you.

To confirm, you are filling this out because you want to reset your metabolism to lose 10-30lbs of stubborn fat, regain energy, optimize hormones, build lean & tone muscle + make this the LAST COACH you’ll ever need?

Yes - I want to learn more about how to feel strong, confident & comfortable in my body in a sustainable way.

No - I’m going to leave this page immediately.

Great! Now, what's your first and last name?

Which of the following best describes your main goal with Lean Queens Coaching?

I want to lose between 10-30lbs of stubborn fat, regain the energy I once had and confident in my clothes again.

I want to have a healthy relationship with food and stop bingeing or feeling guilty for eating "unhealthy" foods.

I want to restore my hormones & metabolism and understand why my past attempts at "diets" have failed.

I'm not exactly sure what my specific goals are, but I do know my approach to nutrition, fitness, and health is not working the way I would like it to.

What makes you interested in Lean Queens specifically? Why is it compelling compared to other online coaching companies out there?

Because I've followed you guys for a long time, and witnessed the amazing stories and 400+ transformations, and hope to be your next success story!

Because I want to utilize a proven method that will address the underlying root causes of my weight loss issues, instead of being told to "eat less, and move more".

The support, knowledge, and accountability of your incredible team of hormone & metabolism specialists allows me to fully trust that you guys will be the last coach I'll ever need.

I'm not very familiar with The Lean Queens, their results, program, or staff, but I am interested in learning more!

What is your current occupation and how long have you been doing it??

Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth?

Yes, I have a significant other and they are supportive.

Yes, I have a significant other but this is my decision to make.

Yes, I have a significant other but they may need to be on the call with me to make a joint decision.

No, I’m single and make my own rules, lol

Last question! If you were to find a way to reset your metabolism to be able to reach your dream body, improve your relationship with food, optimize hormonal function, and learn how to keep your results for LIFE, making Lean Queens the last coach you'll ever need to hire - would you be willing (and able) to invest in getting the help necessary to get there?

Our programs are individualized so we can't say exactly how much of an investment it will be until we talk and see what YOU need.

Yes, I have the cash flow to invest in myself.

Yes, I may or may not have the cash flow, but I'm resourceful and/or have access to credit.

No, my cash flow is month to month and I have no access to credit.

What is your email address?

So we can hook you up with some free resources after our consultation call!

What is your phone number?

Please confirm your mobile number [It's really important this is correct so that we can confirm your application + send a reminder about your free consultation call.]

Please add your Instagram handle and/or Facebook name for us to connect with you!

How did you hear about us?
If referred by a friend, please put their name so we can thank them!

Click "submit" below to submit your application and a member of our team will be in contact. If for some reason your application is not approved, we’ll reach out directly to let you know! Thank you!