Blueprint Application

1

Are you interested in getting in control of your body and the way it looks for the rest of your life?* This field is required.This is what we do so I just want to make sure :)

YESNO

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“This year, I am…”* This field is required.Please select one

In my 30s and ready to improve my body composition

Turning 40 and embracing the exciting new chapter ahead

Between 41-45, feeling motivated to prioritize my health and happiness

Between 46-50, eager to rediscover my vitality and zest for life

Between 51-55, excited to invest in my well-being and enjoy every moment

Over 55, committed to feeling my best and living life to the fullest

3

"I want to.."* This field is required.Please select all that apply to you.

Feel strong and confident in my body

Boost my energy levels to keep up with my busy life

Enjoy an active lifestyle without limitations

Improve my overall health and prevent future issues

Rediscover passions and activities I used to love

Be an example for my children & family

4

"I wish to..."* This field is required.Please select all that apply to you.

Rediscover activities I used to love but haven’t had the energy for

Feel confident and comfortable in my skin

Have more stamina to keep up with my family and responsibilities

Overcome the obstacles that have held me back from being my best self

Embrace a healthier lifestyle without feeling overwhelmed

5

“Sometimes I find it challenging to…”* This field is required.Please select all that apply to you.

Balance work, family, and time for myself

Stick to an exercise routine due to my busy schedule

Find motivation when I’m feeling tired or stressed

Prioritize my needs without feeling guilty

Navigate the overwhelming amount of health information out there

6

“I often find myself...”* This field is required.Please select all that apply to you.

Put others’ needs before my own health and well-being

Feel overwhelmed by hormonal changes affecting my mood

Facing constant cravings that interfere with my health goals.

Frustrated by fitness advice that seems outdated or irrelevant.

Worrying about how my body is changing as I get older.

7

“Once in a while, I…”* This field is required.Please select all that apply to you.

Unseen or less valued because of how I look.

Discouraged, wondering if I’ve missed the chance to make real change.

Nervous in social settings because I’m self-conscious.

Feel isolated, like others don’t understand what I’m going through

Curious about professional help but unsure of where to start.

8

“I am…”* This field is required.Please select all that apply to you.

Struggling with weight gain despite my best efforts

Experiencing joint pain or physical limitations that hinder activity

Feeling less attractive or confident in my own skin

Battling fatigue that affects my daily life

Worried about health issues and not aging gracefully

9

“I have…”* This field is required.Please select all that apply to you.

Tried various diets and exercises without lasting results

Noticed that my metabolism isn’t what it used to be

Concerns about hormonal changes impacting my body and emotions

Difficulty managing stress, leading to emotional or stress eating

Felt discouraged by the lack of progress despite my efforts

10

“I can’t seem to…”* This field is required.Please select all that apply to you.

Find a sustainable routine that fits into my life

Overcome the barriers that keep me from reaching my goals

Regain the energy and vitality I once had

Feel comfortable and confident in my own body

Shake the feeling that aging is working against me

11

“The thing I’m afraid of is…”* This field is required.Please select all that apply to you.

That I’ll never feel like myself again

That my health will continue to decline as I age

That I’ll miss out on life experiences due to my health

That I won’t be able to enjoy activities with my loved ones

That I’ll always feel uncomfortable in my own skin

12

“What would you like to achieve instead?”* This field is required.Please select all that apply to you.

I want a personalized plan that understands my unique needs.

I wish to feel energetic and vibrant every day.

I desire to regain confidence and love how I look and feel.

I aim to overcome these challenges and embrace life fully

All of the above—I want to transform my health and happiness

13

"On my journey to get healthy fit and toned I've already invested..."Please select only one

Less than $1,000

$1,000 to $5,000

$5,000 to $10,000

$10,000 to $20,000

$20,000 or more

14

"On my journey to get healthy fit and toned I've already invested..."* This field is required.

Less than $1,000

$1,000 to $5,000

$5,000 to $10,000

$10,000 to $20,000

$20,000 or more

15

Thank you for sharing your insights!

You should be proud of yourself...

After you submit this application it will be immediately processed to see if you qualify for a 1:1 Body Transformation Assessment.

Click Next & Finish The Last Questions
To See If You Qualify

16

Name* This field is required.

First Name

Last Name

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Email* This field is required.By entering your email, you consent to receive messages for this event via email

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Area Code

Mobile Phone Number

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