The Fat Loss Express
Fill out this form to register your interest in the Fat Loss Express plan. I will get back to you as soon as I can, within the next 24 hours. I look forward to working with you very soon. please note, the email you give me must be a Google email address.
What is your Full Name? *
What is your email? This must be a gmail address. If you don't have one, please make one, and then continue this form. *
Current Body Weight KG (to the nearest 0.1 kg) *
What is your ultimate health and fitness goal? *
How old are you? *
Gender? *
Required
How would you best describe yourself? *
How often do you train/exercise? *
What sort of training is this? Runs? HIIT? Weights?
Do you track your health and performance data? (Food, training, steps, etc) *
How many steps do you do per day? *
How many calories do you eat per day? (if currently tracking) *
If you would like to proceed with the Fat Loss Express, please tick here *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy