New Customer Application form

1

Hello!

Welcome to our Transformation plans

This is Vimalapoornaraj , I had great result on this program. Which is why I recommand this program to my client. I have lost 23kg of weight.

My plan include MEA GUIDELINES, WORKOUTS, NUTRITION SUPPORT, ONE tonONE GUIDANCE to help you to achieve your health & Fitness goals.

You can fill this form before we go for a conversation to help you on the best.

The Consultation will be at free of Cost.

2

Your name ?

3

Your Date of Birth ?

Date

4

How did you came to know about me ?

6

Have you tried ny other program? Can you brief me in detail ?

7

What is your general lifestyle?

I am active & Exercise regularly

I have a desktop job but I can make time for workout

I am into sedentary job & I have no time for workout

I have physical limitations & I am.not allowed to exercise

8

What is the main area you would like to correct?

I want a discipline & routine in my schedule

I need correction for food intake & nutrition intake

I want a push for exercising

I need someone to check on me

9

Your Email ID ?

example@example.com

10

Yoir mobile number? ( WhatsApp number)

Please enter a valid phone number.

11

Name of country & City

12

What is your general monthly budget to allocate for your own health & fitness?

Between Rs.5000 to Rs.8000 for fitness & Weight loss

Between Rs.8000 to Rs.13,000 for complete transformation

Rs.555 for 3 days Education on healthy lifestyle

13

Would you like to share anything else to guide you ?

14

When we receive this application , we will reach you on WhatsApp to schedule a time for a brief call with you .

Wish you the best..

Vimalapoornaraj.