First Name *

Last Name *

Phone *

Email *

Age *

Location (City, State) *

Professional Background

Current Position/Title *

Company/Organization

Annual Income Range: *

Typical Work Schedule

Fitness Goals & Current Situation

Primary Fitness Goal: *

Build executive physique & confidence

Increase energy & mental performance

Better stress management & resilience

Long-term health & longevity

Current Fitness Level

What's your biggest fitness challenge? *

Previous fitness attempts and results:

Investment & Commitment

Time availability for fitness weekly: *

2-3 hours

3-4 hours

5-6 hours

Flexible based on results

Investment readiness for premium program: *

Ready to invest immediately

Ready within 30 days

Exploring options

Depends on investment level

Why is achieving your fitness goals important to your success?: *

Additional information or questions:

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.