Request Form
Hey there!

I am so happy to see you here. It means you know the importance of living a healthy lifestyle and you're thinking starting your own healthy journey.

This quick questionnaire will give me a better idea of what your fitness goals are. I'll reach out to you within 24 hours with all the info.

~ Michelle A. Michel

Email address *
First and Last Name *
Your answer
What workout program are your interested in trying out? *
What is your IG Screenname?
Your answer
What is your phone number?
Your answer
On a scale of 1-5, with 5 being the best, how would you describe your fitness level? *
Worst
Best
What are your fitness goals? *
Your answer
How did we connect? *
How do you prefer to be contacted? *
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