Fill Out This Consultation Form So We Can Create A Consultation Video For You

Full Name *

Phone *

Email *

What Best Describes Your Age? *

Which of the following best describes your current goals/challenges? (select all that apply) *

I want to lose fat (lose weight)

I want to build muscle (gain weight)

Improve Performance (strength, endurance, etc.)

I want to improve my overall health, increase energy, etc.

What is the biggest hurdle you’ve been trying to overcome with your fitness? *

How long have you been stuck? *

What is your curent height and weight? *

Roughly, how many pounds do you think you need to lose? (If you want to build muscle, then tell me how much size you'd like to put on) *

What is your commitment level to your personal results? *

1. I’m extremely committed. I’m sick of my own bullshit, and I will do whatever it takes.

2. I’m committed enough to invest in my goals but I’m afraid of “missing out” on social events.

3. I know I need help to make a change but I’m not sure if I’m ready to fully commit.

What is your occupation and the hurdles you face in that role? *

It's important that we adapt our system to your work schedule so you can become successful. Ex. A lawyer will have a different workout program and structure to their day compared to a nurse who works 3 12 hours shifts.

What is it you are looking to gain from having a coach? *

Is there anything coming up in your professional or personal life that could get in the way of starting the program next week? (This could be a work trip, vacation, or maybe you have deadlines for work.) *

If you're accepted to work with us, when are we getting started? ASAP or at a later date? *