Kinetics Women High Ticket
Transformation program application
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age
Where are you located?
On a scale from 1-10, how ready are you to commit to a transformation program right now?
What is currently not working for you?
What have you already tried? (Workouts, diets, trainers, rehab/PT, etc.)
Why do you think it hasn't worked long-term?
What would happen if nothing changes in the next 6-12 months?
Are you willing to be consistent even when motivation drops?
Yes
No
Not sure
This program requires you to take full ownership of your actions. How do you feel about that?
On a scale of 1-10, how willing are you to be coached and corrected if needed?
Current activity level
Injury History
How many hours of sleep do you get per night?
Stress level (1-10)
Access to gym/equipment
Why is now the time for you to change?
What would success look like for you 3 months from now?
How would your life be different if you fully followed through?
Are you currently financially ready to invest in your health and transformation if this feels like the right fit?
Yes
I would need time
Not at this time
Why should we choose you for this program?
Submit
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