90-Day Switch Reset — Application

1

Full name* This field is required.

First Name

Last Name

2

Email address* This field is required.

example@example.com

3

WhatsApp number* This field is required.

Please enter a valid phone number.

5

What's the main reason you're considering the 90-Day Switch Reset?* This field is required.

Lose stubborn belly fat

Increase energy and beat fatigue

Balance hormones and ease menopause symptoms

Improve sleep quality

Build strength and protect muscle

Stabilize blood sugar and reduce cravings

Something else

6

Tell us a bit more

10

How would you rate your day-to-day stress level?* This field is required.

Low

Moderate

High

Very high

11

What does your current exercise routine look like?* This field is required.

Not currently active

Light movement (walking, stretching)

Structured exercise, 1–2x a week

Structured exercise, 3–4x a week

Structured exercise, 5+ times a week

12

What's your experience with fasting?* This field is required.

I've never tried fasting

I've tried it before, but inconsistently

I fast somewhat regularly already

I'm quite experienced with fasting

13

Tell us a little about how you typically eat

15

Anything else we should know?

16

How motivated do you feel right now?* This field is required.

Just exploring my options

Fairly motivated

Very motivated

100% ready to commit

17

Are you ready to commit to a full 90 days?* This field is required.

Yes

No

Unsure

18

Consent confirmation* This field is required.

I confirm that the information I provided is accurate and I understand this program is not medical advice.

19

Preferred start date

Date