Bodzii Program Application Form

So You're Ready To Take The Next Step?

This is the application to join our incredible program, guaranteed to get you to your goals. Filling out this application does not guarantee a spot in our program but allows us to see if you'd be a great fit. Please fill this out with details so we can have a productive call and get you on your way to a fitter, slimmer, leaner, healthier you!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
When's your birthday?*
Tell us a little about yourself (Occupation, Family, Social life, Hobbies, Activity etc)*
What are your main health and fitness goals that you'd like to accomplish in 12-18 months? (Weight loss, building a better relationship with food, understanding macros, muscle building etc.)*
What do you think is getting in your way of achieving your goals?*
How many diets have you done in the past? List them below.*
How much weight would you like to lose?*
Are you ready, willing, and able to be coachable?*

Yes, absolutelyNo, I'll leave this page immediately.
What does your support system look like? Who would also benefit from you losing 20+ lbs and getting healthy?*
Have you spoken to your partner about your goals?*

Yes - they are on board with my goalsNo - I will go have a conversation with them and return to this application after I have their supportIt's just me - I'm ready to make this decision on my own
Our program includes weekly check-ins with your coach. Are you ready to dedicate time (10-30 minutes) a week to speaking with your coach?*

Yes, absolutelyNo, I'll leave this page immediately
Full transparency: Our program is a low to mid 4-figure investment that is guaranteed to work. Some choose to pay that in full, or we have payment plans that go as low as $400/m. Are you ready to invest in yourself and your health for as low as $100 a week?*
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So You're Ready To Take The Next Step?