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Apply to See If You Qualify for Our Program.
Fill out this short application so we can understand your goals, challenges, and how we can best help you.
16
Questions
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1
Full Name
*
This field is required.
So we know who we’re speaking with!
First Name
Last Name
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2
Email
*
This field is required.
You’ll receive important details about your application and next steps.
example@example.com
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3
Phone Number
We may send a quick text reminder about your consultation.
Area Code
Phone Number
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4
How would you describe your current fitness level?
*
This field is required.
Choose one.
Beginner – I have little to no experience with training or nutrition.
Intermediate – I have some experience but struggle to see results.
Advanced – I know what I’m doing, but I need expert guidance.
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5
What is your biggest struggle with fat loss?
*
This field is required.
Choose up to 2.
Lack of consistency
Emotional eating
Confusing information online
Motivation & mindset
Lack of a structured plan
Not knowing what to eat
Busy schedule & not enough time
Other
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6
Have you tried anything before to lose weight?
*
This field is required.
Select all that apply.
Strict dieting (Keto, Fasting, etc.)
Weight loss pills or supplements
Cardio-only approach
Strength training, but no structured plan
Worked with a coach before
Nothing serious, I’ve just been trying on my own
Other
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7
On a scale of 1-10, how serious are you about making a lasting change?
*
This field is required.
1 = Just thinking about it, 10 = I’m fully committed and ready to take action.
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How BAD?
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8
What is your #1 goal with your body and health right now?
*
This field is required.
Lose 20kg? Build confidence? Get lean? Feel strong? Be proud of your body? Be specific!
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9
Why is this goal important to you?
*
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What’s driving you? Why do you NEED this change? The deeper your "why," the stronger your results will be.
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10
How would your life change if you achieved this goal?
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Picture yourself 6 months from now, how would you feel? What would be different?
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11
What has stopped you from reaching this goal in the past?
*
This field is required.
Choose up to 2 answers
Lack of knowledge on training or nutrition
No accountability or guidance
Lack of motivation or discipline
Struggling with emotional eating or cravings
Busy schedule & not enough time
I always start strong but fall off after a few weeks
Other
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12
Are you willing to invest time, effort, and resources into your transformation?
*
This field is required.
Choose one.
Yes, I know real change takes real commitment.
Yes, but I need some flexibility.
I’m not sure, I just want to learn more first.
Other
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13
My coaching program is a premium, high-level service that requires real commitment. Are you financially ready to invest in yourself?
*
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We offer different options, but this is a serious investment in your future health.
Absolutely, I’m ready to invest in myself and transform my life.
Not at the moment, but I hope to in the future.
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14
Anything else you’d like me to know?
Share anything that would help us understand your journey better.
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15
Next Step
*
This field is required.
Once you submit this form, you’ll be directed to book your FREE 30-minute discovery call. Are you ready to take this first step toward your transformation?
I understand
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16
Book your free 1 -on- 1 strategy call
*
This field is required.
This 30-minute discovery call is your opportunity to take the next step toward transforming your life.
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