Congratulations! You're one step closer to increasing your energy, toning up & feeling more confident! Please fill out the short application below.
What are your health & fitness goals? Lose 20 lbs? Be Happy and Healthy? Tone Up? Balance Your Hormones? Increase Energy? Be More Confident? Etc. (Explain in depth)
*
First Name
*
Last Name
*
Occupation? (Where do you work? Desk job? Active job? etc.)
*
What have you done in the past to try an achieve your goals? What has or hasn't worked for you? The more detailed you are in this question, the better we are to support you!
*
On a scale of 1-5, how ready / committed are you to changing your life right now? (1 being "not ready at all" and 5 being "I'll do anything to change my life")
*
1- I could put this off for awhile
2
3
4
5- I want this change now!
Explain to us WHY. What is driving you to make these changes?
*
If we are able to come up with a plan that you feel would help you reach your goals, are you willing to give up some unnecessary expenses so you can invest into your health?
*
Yes! I am ready to make some changes so I can reach my goals
No, I'm not willing to invest into my health and future
Do you have a significant other? If so, are they supportive of you potentially investing in your health and personal growth?
*
Yes, I have a significant other and they are supportive AF.
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 AF and make my own rules, lol
Phone
*
Email
*
COMPLETE