VMax Enquiry Form
Hey.
Thank you For Showing Interest in Our Guaranteed Transformation Program.
Please Fill out this Simple Form so that We will have an Understanding of How We can Assist you in your Fitness Journey.
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First Name *
Last Name *
Name Title *
Email Address *
Your Mobile Number *
Please enter your mobile number with country code i.e., India - (+91 9XXXX XXXXX)
Your WhatsApp Number *
Please ignore if your what's app number is same as your mobile number
Where did you first hear about VMax? *
Social Media Handle Name *
Please provide your Facebook and Instagram ID @
Location *
Please enter your CITY, STATE and COUNTRY.
Gender *
Age *
Date of Birth *
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/
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/
YYYY
Preferred Language? (Mother tongue) *
Height *
Weight( Kg) *
Profession *
More details about your Profession *
If you are a Doctor, please specify your Specialty (Dentist/Cardiologist). If you are into Business, please specify your nature of Business. If You are an Engineer, please specify your specialty (Software/Mechanical etc.)
How Active is your Lifestyle ? *
Work Hours *
Eg : 9am to 5pm - Please specify AM or PM.
What is your body type? *
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What is your Most Primary Fitness Goal from the list below ? *
(Choose your primary Goal.)
Required
What is your Most Challenging Pain Point which is stopping you from achieving your fitness goals? *
Required
Any Existing Body Pain? *
Required
Any existing Health Issues ? *
Required
On a scale of 1-10, how committed are you to achieve your Fitness Goals ? *
Worst
Best
If your answer to the Commitment Level Question (the previous question), was below 8. Please specific why do you think you lack the Commitment Level to achieve your Health and Well-being ? If you are above 8, Just type your number(8/9/10) again.
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