Client Application

Application Questions
2025

Matt Collins

Executive Fitness Accelerator

Please fill out this form with as much detail as possible so that we can learn more about you, your goals and your struggles
What's your name?*

First NameLast Name
What's your phone number?

Area CodePhone Number
What's your email?
example@example.com
What's your current occupation?
What's your current age, height & weight?
What is the biggest challenge for you right now in reaching your health and fitness goals?
2. Which of the following areas are affected by being stuck?

Self imageEnergyWorkDating/marriageSocial lifeWearing clothingPain
Do you have any health problems? Briefly explain
What have you tried so far to improve your health and fitness?
How will your life be different if you can reach your fitness goals?
What will happen if you don't reach these goals?
Why not "wait on it"? What makes this something that needs to be solved now?
We will discuss the financial investment on our call - is there any reason you wouldn't be able to invest in a permanent solution for your long term fitness and health right now? (Buying a home, vacation, or other large expense that prevents you from investing?)
Is there anybody else who will be part of the decision making process? (If so, please have them with you so we can include them. This will save us lots of time)

YesNo
Finally, what makes you different from all other applicants? Why should we choose to work with you?
Should be Empty: