The Rediscover Program Enquiry Form

1
What's your main health & fitness goal right now?* This field is required.You can select any that apply!
Build muscle & strength
Feel more confident in myself
Lose weight
Become more consistent
2
What's your biggest obstacle to becoming the best version of yourself right now?* This field is required.
Lack of direction
Lack of motivation & discipline
Lack of education
Lack of time/structure
3
How would you describe your mindset around health & fitness?* This field is required.
I tend to be all-or-nothing with my habits
I overthink my food and training habits
I rely heavily on discipline and feel guilty when I 'slip up'
I want to improve my mindset, not just my body
I feel disconnected from my body
I'm confident and just want more structure and direction
I feel calm and balanced with health & fitness most of the time
4
Tell me a bit about your current nutrition habits.* This field is required.Select all that apply.
I eat well during the week but struggle on weekends
I track calories/macros closely but allow for soul foods
I eat intuitively but I'm not confident with it
I feel overwhelmed by thoughts around food/tracking
I struggle with overeating feel out of control around food
I feel guilty after eating certain foods
I feel mostly balanced but want to improve consistency and fuelling
I focus on 'clean' or 'healthy' foods most of the time
I skip meals or eat irregularly
5
What tier of the program would you be most interested in?* This field is required.
Tier 1: Rediscover Program only
Tier 2: Rediscover Program + nutritional guidance
Tier 3: Rediscover Program + nutritional guidance + weekly 1:1 call to help with mindset, goals and further learning
6
What's your full name?* This field is required.
First Name
Last Name
7
What's your email address?* This field is required.So I can keep you updated on The Rediscover Program
example@example.com
8
What's your instagram handle?* This field is required.So I can get in contact with you!
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