First Name *

Last Name *

Email *

Instagram Username *

Are you a CURRENT client of mine? *

Yes

Not yet

I used to be

How will you be creating your Vision Board during the workshop? *

Canva (recommended)

DIY at home with magazines/paper

Not sure yet...i need help

What are your primary fitness goals? *

Reduce chronic pain/stiffness

Build strength & muscle tone

Improve flexibility & mobility

Get into a consistent routine

Improve overall health & confidence

What’s one word that sums up your 2026 vision? *

What's your #1 struggle right now? *

Losing weight

Overcoming injury/pain

Consistency/motivation

Know what workouts or nutrition plan to follow...

Would you like help building a personalized 2026 health + fitness plan? *

Yes...I need help

Possibly after the event

Not right now

Optional: Leave your phone number if you want a free 20-minute consult to map out your 2026 plan.