TotalMacro Fitness Systems

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Online Habit Building Program For A Fit Lifestyle

Your Full Name *

Your Preferred Email Address *

Your Preferred Phone Number *

Link To Your LinkedIn Profile *

Age Bracket *

18-24 Years

25-34 Years

35-44 Years

45-54 Years

55-64 Years

65+

Basic Science + Healthy Habits = Results

Are you borderline diabetic or having borderline cholesterol levels? *

Yes

Are you facing any other health issue? *

What are your goals and expectations from this program? *

What is your expected timeline for transformation? *

3 Months

12 Months

I want to make fitness a part of my lifestyle

Do you have an active gym membership? *

Yes

No, but I am open to taking one

No, but I can workout from home

No, and I don't want to do strength training

What are the exercises you currently perform? *

None

Walking

Cardio/Running/Jogging

Strength Training/Muscle Building

At TotalMacro, we offer a personalized habit-building program designed to help you transform your lifestyle. Our program includes expert guidance on both exercise and nutrition.

Our mission is to empower you to become your own nutritionist and trainer, enabling you to tailor your diet and exercise routine for a fit, active, and sustainable lifestyle.

We work exclusively with individuals who are committed to making a lasting lifestyle change—not those seeking quick fixes. Our clients are ready to prioritize fitness as their number one goal.

Does this sound like you?

Note: There won't be any live online workout classes.

Yes

Basic Science + Healthy Habits = Results

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Vivek Pathak.

Does this form look suspicious? Report

Forms