I Am The Project Enrolment Form

1
What is your name?* This field is required.
First Name
Last Name
2
What is your Email address?* This field is required.
example@example.com
3
What is the BEST mobile number to contact you on?
Country Code
Phone Number
4
What is your Instagram username?* This field is required.
5
Where do you currently live?* This field is required.Country + City
6
What is your age range?* This field is required.
Under 18
18-25
26-35
36-50
51-65
66+
7
What do you do for work?* This field is required.This will give me a better idea about your current lifestyle.
8
What is your current physique like?* This field is required.
Skinny: I would like to build some muscle and get fit
Skinny-fat: I have some fat I would like to lose, but I want to build muscle at the same time
Athletic with some fat: I have a developed muscularity, but would like to get leaner
Chubby: I am not athletic and my weight affects my confidence
Overweight: I don't exercise and I want to lose weight and feel better
Obese: I have more than 20kg excess weight, I struggle with weight management and I have low energy
9
Which of the following statements best describe your current situation?* This field is required.You can choose multiple statements.
I have never been into exercise and with so much information out there, I don't know where to start.
I have exercised in the past, but lost motivation and want to get back into it.
I am quite experienced when it comes to lifting weights, I understand about exercises, but have no idea about nutrition.
I have experience when it comes to exercise and nutrition but I can't progress any further and I need help.
I am extremely unsatisfied with my body and it affects all the areas of my life. I need to improve myself ASAP.
I have a busy schedule and I can't find enough time for staying fit. I need someone to guide me and hold me accountable.
10
What is your daily activity level?* This field is required.
1
2
3
4
5
None
High
11
What is your daily stress level?* This field is required.
1
2
3
4
5
Low
High
12
How ready are you to commit your energy, finances and mental health to your transformation?* This field is required.
1
2
3
4
5
Not ready
Ready!
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