How much weight are you looking to lose over the next 90 days? *

0-10 lbs

10-20 lbs

20-40 lbs

+40 lbs

How long have you been trying to lose weight? *

Never really tried

Just started

Less than a year

1-2 years

All my life

What have you tried in the past? (check all tha apply) *

Keto

Paleo

Weight Watchers

90 Days Hard

CrossFit

Personal Trainer

Online Fitness Coach

How committed are you to solving this now? *

5/10 it's not that important just curious

7/10 I'm not happy but not sure how committed I am to making a change

9/10 it's affecting my confidence, energy, and overall sense of how I feel

10/10 I will literally do anything at this point to get help and want to be the best version of myself

If you could paint a picture of where you want to be what does that look like Physically, Mentally, Emotionally? *

What do you think is currently holding you back? *

Everything I've tried in the past didn't work and I feel like I'm never going to get the desired results

I know myself and it's hard for me to stay committed

I don't have a community of people around me to support me

I'm just overwhelmed with time, stress, career, etc.

There's so much information I don't even know where to start

Anything else you'd like to share with us about your health and fitness journey up until this point? *

If we feel like you're a good fit to work with us, are you ready to invest financially in yourself your goals and your future? *

Yes

Not sure

What's your current age? *

26-35

36-45

46-55

First Name *

Email *

Phone *

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