Beat the Belly Fluff: Unlock Your Body’s Fat-Burning Power!
First Name
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Last Name
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Email
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Phone
Instagram Profile
Facebook Profile
What is your age range?
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30's
40-45
46-50
51-59
Select your top three (3) health priorities?
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Skin Health
Healthy Heart
Better Sleep
Joint health
Mental Function
Immune Function
Gut Health
Mood Support
Healthy Blood Sugar
Sex Drive
Boost Metabolism
Energy
Strong Bones
Crush Cravings
Other
Brain Fog
How Much Weight Are You Ready to Kick to the Curb?
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Just a little—enough to feel more like me!
10–20 lbs. I’m ready to feel stronger and more confident!
20–40 lbs. Let’s make some serious moves!
40+ lbs. Watch out, world—I’m coming in HOT!
How Many Times a Week Do You Get Your Sweat On (30+ Minutes)?
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Exercise? I thought about it, does that count?
1–2 times—I’m easing into it.
Three to four times—I’m in the zone!
5+ times—I’m basically unstoppable!
How’s Your Relationship with Strength Training?
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We’re basically soulmates.
It’s complicated.
Haven’t met yet, but I’m curious.
Nope. Cardio is my thing.
How Many Cups of Coffee or Energy Drinks Are Powering You Through the Day?
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Zero. I run on pure chaos and vibes.
Just one—I like to keep it classy.
Two to three… because I’m “adulting".
Four or more. It’s basically my blood type now.
I’m basically vibrating at this point.
Do You Feel Like You Just Ran a Marathon… Even Though You’ve Only Been Binge-Watching Netflix?
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Yes
No
How’s Your Sleep Game These Days?
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Like a baby—out cold and dreaming!
I fall asleep fast but wake up at 3 AM ready to solve the world’s problems.
Tossing, turning, sweating… it’s a whole circus in here.
Sleep? What’s that?