FITNESS TRANSFORMATION GROUP – APPLICATION

Please fill in the information and answer the questions below to apply for the next FITNESS TRANSFORMATION GROUP.

APPLICATION FORM

Name

Email Address

HOW WOULD YOU RATE YOUR CURRENT LEVEL OF FITNESS? HOW WOULD YOU RATE YOUR CURRENT LEVEL OF FITNESS? I'm in AWESOME shape! Above Average Average Below Average Non-existent

WHAT ARE YOUR TOP 3 FITNESS GOALS? (SELECT 3) WHAT ARE YOUR TOP 3 FITNESS GOALS? (SELECT 3) Lose Weight More Energy Build Strength Look Better in the Mirror Gain More Confidence Feel Better About Myself

IF WEIGHT LOSS IS YOUR GOAL...HOW MUCH WEIGHT WOULD YOU LIKE TO LOSE? IF WEIGHT LOSS IS YOUR GOAL...HOW MUCH WEIGHT WOULD YOU LIKE TO LOSE? Lose about 10 pounds Lose 10-20 pounds Lose 20-40 pounds Lose more than 50 pounds

WHAT HAS BEEN YOUR BIGGEST CHALLENGE WHEN IT COMES TO GETTING INTO SHAPE? (LACK OF DISCIPLINE, OVEREATING, ETC.)

ARE YOU WORKING OUT NOW? IF SO, WHAT KIND OF WORKOUTS ARE YOU DOING AND HOW OFTEN?

DO YOU HAVE ANY CURRENT OR PAST INJURIES THAT IMPACT YOUR ABILITY TO WORK OUT? IF SO, PLEASE DESCRIBE...

HOW OLD ARE YOU?

HOW COMMITTED ARE YOU TO DOING WHATEVER IT TAKES TO REACH YOUR GOALS AND BECOME A BETTER VERSION OF YOU?

WHAT ABOUT THIS PROGRAM RESONATES OR INTERESTS YOU?

2 + 12 =

Once you fill out the application just add up the numbers and hit “SUBMIT APPLICATION”. After I receive your application I will contact you directly at the email address provided above.