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Please fill out the questions below in as much details as possible so I can learn more about your current situation and goals. This will help me select the best 3 people to get my online training program and coaching for free

Email*
First & Last Name*
Mobile Phone Number*
Current Weight*
Please tell me a little about your fitness and body transformation goals (including specific goal and ideal time frame of reaching this)*
Why is this your goal.. whats the real reason for wanting to achieve this change..?*
Where is your preferred place to workout? ie. home, gym, park etc*
Do you have any injuries, diseases or illnesses I should know about?*
NUTRITION
Please tell me a bit about what you're currently eating and drinking...
Typical Breakfast
Typical Lunch
Typical Dinner
How much alcohol do you drink a week, and what types?
Any food allergies or particularly dislikes?
MINDSET
Scale 1-10, how confident do you feel about your body, and fitness? and why?
How would you reward yourself after achieving your goals?
Are you 100% committed to getting results?*
- No
- Yes

Beta Program

NUTRITION

MINDSET

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