Fearless Registration Form

1
Full Name* This field is required.
First Name
Last Name
2
Mobile Number* This field is required.
Please enter a valid phone number.
3
Email Address* This field is required.
example@example.com
4
Age Range* This field is required.
Please Select
Please Select
18-24
25-34
35-44
45-54
55-64
65+
5
Weight* This field is required.
Weight in kgs
6
Fitness Goals* This field is required.
Lose weight
Build muscle
Improve endurance
Increase strength
Improve flexibility
Build healthy habits
Other
7
Anything else or want to add detail?
8
Do you have any injuries, limitations, or medical conditions?Please share any injuries, limitations, or medical conditions that may affect your progress, such as a sprained ankle, back pain, knee injury, asthma, limited mobility, chronic pain, or recent surgery. Examples can help us tailor your plan.
(sprained ankle, back pain, knee injury, asthma, limited mobility, chronic pain, or recent surgery)
9
What are your biggest struggles with?Please share any challenges related to nutrition, motivation, training, or anything else that may affect your progress. Examples: trouble staying consistent, low energy, time constraints, difficulty with meal planning, or lack of support.
(trouble staying consistent, low energy, time constraints, difficulty with meal planning, or lack of support)
10
How many days can you realistically train a week?* This field is required.
Please Select
Please Select
1 to 3
3 to 5
5 to 7
11
What is your experience with fitness?* This field is required.
New to working out
I worked out in the past and want to get back into it
I currently work out weekly
I work out daily
Other
12
What equipment do you currently have access to?
Gym (Full equipment)
Home gym (basic equipment)
Training from home (no equipment)
Other
13
Are you comfortable tracking progress (photos, weight, check-ins)?* This field is required.
Yes
No
14
What does success look like for you at the end of this 8-week challenge?* This field is required.
feel stronger
feel fitter
fit into old clothes
have more energy
improve mental health
feel ready for an event (vacation, wedding, etc.)
Other
15
On a scale from 1-10, how are you committed to changing your life in the next 8-weeks?* This field is required.Use this scale to show how ready you feel to make meaningful changes over the next 8 weeks. A lower number means you feel less committed or need more support, while a higher number means you’re ready to take action and fully invest in the process. A 5 means you’re somewhat committed — you’re interested and open to change, but you may still need some encouragement or support to fully commit.
1
2
3
4
5
6
7
8
9
10
Not Committed
All in
16
If accepted into the 8-week challenge, are you ready to start immediately and invest in yourself?* This field is required.
Yes - I'm ready to go
No - Not yet
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