Join Palindrome Fitness

1

Name

First Name

Last Name

2

Email

example@example.com

3

Great! Where/What do you do for work? This gives us a bit of context as to who you are, what lifestyle factors will come the play, work load, etc. (Just put n/a if not applicable)

4

Tell us a little about your goals & what you hope to achieve while working with Palindrome Fitness

5

What are some of your biggest hurdles you face while striving for these goals?

6

Do you have any experience working with an online coach or personal trainer?

7

On a scale of 1-10, how serious are you when it comes to reaching these goals? I'm not talking about quick fixes or crash diets.. I'm talking longterm, sustainable results! How serious are you?1 being.. not serious at all. I'm not even sure why I'm filling this thing out. 10 being.. I'm ready yesterday!! Let's GOOOO!

8

The purpose of the Discovery Call is to determine if the program is a good fit for you. If we conclude yes, are you in a position to invest your time, energy, & finances to reach your goals?

I have the finances + energy to invest in my personal growth, knowledge, health + performance

I am willing to invest if I know the program + accountability can deliver results

I am not in a position where I can invest in my personal growth, health, physique + performance at this time

9

Does your spouse, significant other, &/or surrounding loved ones support & uplift you? (Meaning they will give you the "thumbs up" on whatever you decide?) -- If you are like, "I don't need no permission" - just put yes 😉

YESNO

10

Gimme those digits!! (This will only be used to set up your free discovery call; it will never be used for marketing purposes)

Please enter a valid phone number.