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Hello & Welcome. Please fill out the questions below to schedule your call with me.

First Name *

Last Name *

Phone *

Email *

Country *

City *

Date of birth *

Current Body Weight *

Briefly tell me what’s your fitness goal is? *

Why is achieving this goal important to you? *

What have you tried in the past? *

Please tell me a bit about what you're currently eating and drinking? *

What’s been your biggest challenge (if any) "Kryptonite" you believe you have when it comes to getting in shape? *

Do you have access to a gym? *

Yes

No

Willing to go get a gym membership

Do you drink alcohol? If so, how often? *

Do you smoke cigarettes or vape? If so, how often? *

Health - Do you have any injuries, diseases or illnesses I should know about they may impact your results? *

Scale 1-10, how confident do you feel about your current body and fitness and whys? *

How soon would you be ready to get started? *

ASAP

1-2 Weeks

Just exploring

(Note: am looking for clients ready to take action)

What is your current occupation? *

Are you able to invest financially into coaching right now? *

Yes, I am ready now

I still want more information however, if after I review everything and I believe this program will help me achieve my desired outcome, I currently am financially capable to invest in myself at this time

No, I am currently spread to thin with bills/priorities to invest right now into coaching

(Note: If you’re not ready to invest in yourself, this probably isn’t a good fit and you should leave this page now.)

How do you handle direct, honest feedback or constructive criticism? *

Lastly, If you don't take action, you continue living your current lifestyle habits and your physique doesn't improve in 6 months or a year from now will you be content staying the same? *

Yes

No

This program isn’t for everyone. It’s for those who are 100% committed to putting in the work and taking their physique and mindset to the next level. If that’s you, Click SUBMIT to schedule your 1 on 1 call with me

Many thanks for taking time to thoroughly fill out this questionnaire!

Committed to helping you achieve your fitness goals, I provide expert guidance and personalized support every step of the way. Let’s build a healthier, stronger you together.

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