Get Into the Best Shape of Your Adult Life

Complete the Form Below So We Can Get Started

This isn’t just about losing weight. It’s about rebuilding your health from the inside out.

Let me get to know you so I can help you feel stronger, leaner, and more confident.
(And don’t forget to hit submit when you’re done!)

First Name *

Last Name *

Phone *

Email *

Age *

Height

Current Weight

Is this your ultimate goal weight loss or something else? If so, what is your goal? *

How would you describe your current energy level (0–10)? *

0 ='s No Energy 10 ='s FIRED UP

Are you concerned about losing muscle or bone density while losing weight? *

How much money are you spending each month on fast food, Grub Hub, Uber Eats etc...? *

Which best describes your current exercise/resistance training program?

What best describes your current fitness level?

Would you be interested in a custom exercise/resistance training program that takes only 5 to 20 minutes a day depending on your current fitness level? *

How many hours of sleep are you getting each night, on average? *

How well-rested do you feel when you wake up? *

What do believe you need the most help with? Why has this been a struggle for you? *

What would feeling GREAT again look like for you? (More energy? Stronger body? Clearer mind? More confidence?) *

Would you like an individualized Nutrition Guide (Macros + Calorie + Portions) tailored to your goals? *

Why is NOW the right time to not just lose weight, but build the strongest, healthiest version of yourself? *

If you are ready to get into the best shape of your adult life, hit the submit button below. Thank you for taking the time to honestly answering these questions. I will in touch with you shortly.

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