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?
How would you best describe yourself?
Need a little push
Sometimes unmotivated and tired
Never feel like exercising
How often do you train/exercise?
1-2 times per week
2-3 times per week
3-4 times per week
5+ times per week
What sort of training is this? Runs? HIIT? Weights?
Do you track your health and performance data? (Food, training, steps, etc)
Yes, as much as I can
Some, although not all
No, but I would like to
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
Please Tick Here
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