Personal Training Application Form

CONGRATULATIONS!
You’ve taken the first step toward discovering how men inside the Alpha Maker Project are building lean muscle and stripping away belly fat in a few months — with short, efficient workouts and without restrictive dieting.

If you’re a good fit for this program, I’ll show you exactly how we’re helping our current clients and why the Alpha Maker Project has been so successful.

Keep in mind — what you want to achieve, I’ve already helped thousands of men accomplish.
Men just like you, with demanding careers, families, and hectic schedules.

I’m passionate about helping men over 50 because I’ve lived it myself.
I raised three kids, worked a full-time corporate job, and coached clients on the side. That experience is what led me to create the Alpha Maker Project — a system that allowed me to reclaim my health, confidence, and energy without sacrificing family or faith.

I needed a plan that worked mentally and physically — one that fit real life.
And that’s exactly what I built.

Now my clients and I are getting amazing results working out less than 4 hours a week — and still enjoying meals with our families.

Full Name*

First NameLast Name

Age

years

Weight

LB

Email

example@example.com

What do you do for work?

Whats the activity level at your job?

none(seated only)Moderate (light activity such as walking)High (heavy labor, very active)

Please list the physical activities that you participate in outside of the gym and outside of work.:

If you have any diagnosed health problems list the condition(s).

If you are on any medications, please list them.

If you have any injuries, please list them.

Do you suffer from diabetes, asthma, high or low blood pressure?

YesNo

if yes please list:

Are you a current cigarette smoker?

YesNo

Your current diet could be best characterized as:

What is your specific goal? Build more muscle, burn fat, improve confidence, or general health?

Please rate your readiness for change.

What is your number 1 struggle getting into your best shape?

The Alpha Maker Project isn’t a free challenge — it’s a serious, life-changing coaching program for men who are ready to invest in themselves. I pour decades of experience into every client I work with to make sure you get the results you deserve. This is a paid program, designed for men who are ready to invest in their health, confidence, and future. With that in mind, which of the following best describes you?

Pre-Call Application for my Alpha Maker Program

Part 2. Lifestyle Information

Part 3. Medical and health information

Part 4. Goals

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