Enquiry Form

1
Name* This field is required.
First Name
Last Name
2
Email address * This field is required.
example@example.com
3
Instagram/facebook handle * This field is required.(Eg, @ben_claypole77)
4
What is your age?* This field is required.CLO specialises in weight loss for those in their 40s and 50s and take on some people in their 30s on request. However currently we do not take anyone in their 20s or younger.
5
What are your biggest frustrations with weight loss, health, fitness, confidence?* This field is required.Please go deep and describe in as much detail as possible.
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6
What have you tried before to lose weight and if you are honest with yourself, why do you think it hasn't worked?* This field is required.Again, give me all the details.
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7
What would a good outcome look like to you if we are to work together over the next 6 months?* This field is required.Eg, - Lose 15kg over the next 6 months / Fit into a dress 2 sizes smaller......
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8
Do you have 90 mins per week to use our system?* This field is required.
Yes
No
Its tight but I will find the time.
9
Assuming you and I are a good fit, are you ready to start working on your goals immediately?* This field is required.
Yes
No
Other
10
Are you ready to invest in yourself for a minimum of 16 weeks to get the results you want?* This field is required.
Yes- I am ready, lets book my consultation call.
No, I thought it was free
11
What's next? - Click the link below to find a time in my diary that suits you most for your FREE consultation. **Please press submit at the bottom of this page after you have booked your consultation.**If you miss this step, your consultation will not be booked.
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