3X Fat Loss Formula: 12 Week Program Application
Name
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First Name
Last Name
Age
*
Occupation
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Give me a detailed summary of your health and fitness goals
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Please explain your current training routine if any
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Please explain your current nutrition/dietary protocol if any
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What has been your biggest challenge achieving your goals (Training, Nutrition, accountability, etc.)
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Can you commit to training in a gym (or home gym) 3-4 days per week?
Absolutely, I have access to a gym or home gym
No, I don't have gym or home gym access
If we are a good fit to work together, are you ready to start right away?
Absolutely, I am ready to start ASAP
Not anytime in the bear future
I only take on clients who are serious and ready to invest in their health and fitness. If we are a good fit are you ready to financially invest in your health and fitness?
Absolutely, I have adequate financial resources and I am ready to invest. This is a top priority!
Maybe, I have adequate financial resources and am wiling to invest but would like to discuss details.
I am currently limited in financial resources and cannot afford much at this time
I am currently unable to financially invest in my health and fitness
How did you here about my program? If its a referral please type out their first and last name.
Phone Number or Instagram handle (Please leave your number or your @ for social media)
Submit
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