Full Name *

Phone (please include area code) *

Instagram @ / Facebook handle? *

Age *

What is your current occupation? (This helps us better understand your schedule, lifestyle, and day-to-day demands.) *

What are your current fitness goals? (be as specific as possible) *

What has been the biggest challenge preventing you from reaching your goals so far?* (Time, consistency, structure, etc.) *

On a scale of 1–10, how committed are you to making a real change right now?* (1 = just exploring, 10 = fully committed) *

Getting real results takes commitment physically, mentally, and financially. If this program feels like the right fit, are you in a position to invest in your health and transformation? *

Yes, I’m ready and able to get started

I’m open, depending on the fit

Not right now, just exploring