THE FATLOSSOPERATOR™ — COMPLIANCE APPLICATION V2
A mobile-friendly lead application to assess your fitness goals, current habits, and readiness for coaching.
Identity
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Instagram Handle
Age
*
Mission
What mission are you here to execute?
*
Lose body fat
Build muscle
Recomposition
Improve discipline and consistency
Improve conditioning
Prepare for military/tactical/athletic performance
Other
What result would make the next 12 weeks worth it?
*
Current Standard
What is breaking your compliance right now?
*
Lack of consistency
Poor nutrition
Low motivation
Low energy
Stress eating
Alcohol/weekend habits
No training structure
I keep starting and stopping
I do not know what to do
Current training level
*
I do not train right now
Beginner
Some experience
Intermediate
Advanced/former athlete/military background
Days per week you can realistically train
*
2
3
4
5+
Current nutrition
*
No structure
I try to eat healthy but inconsistent
I track sometimes
I track consistently
I need a full plan
Body Checkpoint
Any injuries, pain, or physical limitations we need to respect while building your plan?
Knee
Shoulder
Low back
Hip
Neck
Ankle/foot
Previous surgery
No major limitations
Prefer to explain privately
Other
Briefly explain anything selected above.
Any food allergies, dietary restrictions, or foods you refuse to eat?
Pressure Points
What usually throws you off mentally?
*
Work stress
Family pressure
Low confidence
Lack of discipline
Anxiety/stress
Poor sleep
Feeling stuck
No support system
I do not talk about it but it affects me
Other
What would getting back on track actually change for you?
Readiness
Average sleep per night
*
Less than 5 hours
5–6
6–7
7–8
8+
Rate your current commitment level.
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Why now? What finally made you take action?
If approved, are you prepared to discuss coaching?
*
Yes
Maybe I want more information
Not yet
Best way to contact you
*
Text
Instagram DM
Email
Phone call
Anything else I should know?
Submit Application
Should be Empty: