Armor Up Fitness – Application to Work With Lorayne
Complete this application to start your wellness journey with Lorayne. Have your details ready and be honest about your goals and needs.
Applicant Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How did you find us?
*
Instagram
LinkedIn
Podcast
Website
Referral
Other
Background and Current Context
How old are you?
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Under 35
35-39
40-44
45-49
50+
What best describes your current lifestyle?
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Corporate Executive/Professional
Entrepreneur/Business Owner
Stay-at-Home Mom
Healthcare Professional
Other
Goals and History
What is your primary health and fitness goal right now?
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Lose body fat and build lean muscle
Increase energy and reduce fatigue
Balance hormones and reduce perimenopause symptoms
Build strength and confidence
Complete body and mindset transformation
How long have you been struggling with this goal?
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Less than 6 months
6 months – 1 year
1–3 years
3–5 years
5+ years
What have you already tried?
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Dieting or calorie restriction
Group fitness classes
Self-programmed workouts
Working with a personal trainer before
Meal plans or programs you bought online
Nothing yet – I don't know where to start
Challenges and Motivation
What has kept you from getting the results you want?
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How important is it for you to solve this now?
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Not urgent
1
2
3
4
5
6
7
8
9
This is my top priority
10
1 is Not urgent, 10 is This is my top priority
Are you currently dealing with any of the following?
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Hormonal imbalances or perimenopause symptoms
Chronic stress or burnout
History of yo-yo dieting or metabolic issues
Low energy or poor sleep
Joint pain or physical limitations
Emotional eating or mindset blocks
None of the above
Vision and Fit
What does your ideal outcome look like 6 months from now? Be specific.
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Are you open to a faith-rooted, holistic approach to health that addresses your body, mind, and identity — not just your workouts?
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Yes, absolutely – that's exactly what I'm looking for
Somewhat – I'm open to it
Not sure – tell me more
No – I'm looking for just a workout plan
What is your current monthly investment budget for your health and wellness?
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Under $500/month
$500–$999/month
$1,000–$1,499/month
$1,500+/month
Are you able to commit to a 16-week program with weekly coaching touchpoints and structured training?
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Yes – I'm ready to commit fully
I need more information before I commit
Not right now – the timing isn't right
Is there anything else you want Lorayne to know about you before your discovery call?
Submit Application
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