LittyCo Client Application

1

Full Name* This field is required.

First Name

Last Name

2

How did you hear about us?* This field is required.

3

Phone Number* This field is required.

Area Code

Phone Number

4

Do you currently have a gym membership?* This field is required.

Yes

No, but I’m getting one

Prefer to workout at home

5

What kind of training are you most interested in?Select all that apply

Individual Personal Training

Small Group Training

Large Group Training

Virtual Training

Both In Person and Virtually

Other

6

What does your current fitness routine consist of?* This field is required.(Days of week, program structure)

7

Do you have a specific diet?* This field is required. If yes please give details (Macros/cals, meals, allergies,etc)

8

In a year from now, what's your dream body look like? * This field is required.(please be specific, such as weight, body fat percentage, etc)

9

What have been your biggest roadblocks slowing you down from attaining your dream body?* This field is required.

10

How much time per week are you willing towards reaching your goals?* This field is required.

As Much As Needed

A Few Hours Here & There

I Have to Squeeze It In

Other

11

What is your current motivation level on a scale of 1 to 10 to achieve your fitness goals? 1 being 'i could care less about my health so whatever' and 10 being 'I'm ready to be all in all of the time, Navy Seal style'* This field is required.

12

If you could buy your dream body, what would you be willing to invest?* This field is required.

I would give anything for my dream body. Money isn't a concern

It would be nice but my health is not my top concern. Under $400

I know what I am doing. I am happy with what I see in the mirror. Under $100

13

E-mail* This field is required.

14

Any Additional Details You Wish To Share:

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