Interested in Learning More About this Process?
Please Complete This Brief Questionnaire
First Name
*
Last Name
*
Email
*
Phone
*
What is your main health goal?
What is the main thing holding you back from achieving that goal?
Occupation
Age
Do you have any health concerns? Briefly explain:
What have you tried so far to improve your health/fitness?
How is not being in the shape you want to be in currently impacting your life?
Where would you like to see the most improvement?
Weight loss
Fitness levels
Mobility/flexibility/movement abilities
General health
Managing an aging body
Hormones
Metabolism
How do you see this playing out if you don’t take action for another 6 months?
I do not provide cookie-cutter or one off programs, because they aren't effective. We'll be focusing on education and helping you achieve sustainable results for life. Are you willing to invest in a permanent solution?
Yes
Unsure
If we decide this program would be a good fit for you, I'll send you a few different package options. Is there any reason you wouldn't be able to invest in a permanent solution for your long-term fitness and health right now? (Buying a home/vacation/other large expense that prevents you from investing?)
Is there anyone else who might be involved in the decision making process? Do they know about your goals?
When would you potentially be able to start if accepted?
Immediately
1-3 months
3+ months