T &S intake form

Thank you for taking the time to tell us some information about you.

We promise not to share : )

This program is for busy people who want to change RIGHT NOW; get rid of extra body fat, build strength , and get healthier.

We will work with you every step of the way to make sure you come out leaner, stronger, and healthier.

Our virtual coaching program guarantees - when completed- to get you the results you've always wanted, while taking STRESS out of your journey.

We are the CEOs of your body and will let you know when and what to eat, what workouts to do-- and when you're traveling for work... no problem, we've got you covered.

In your customized plan you will get:

-3 to 4 weekly workouts based on your goals and fitness levels

-Weekly zoom call

-Sample meal plan

-Supplement consultation

-Weekly progress report


Usually, these programs run 500.00 a month without a personalized coaching plan, we are accepting 4 beta testers at 150.00 for 45 days!!!

Here are your next steps:

1) Complete the entire form as detailed as possible and wait 24-48 hours for our response.

2) After reviewing your application we will send reach out to set up a 20-30 minute phone call to learn more about you.

Email address *
Meet one of our Best Clients!
First and Last Name *
Your answer
Height *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Weight *
Your answer
Age *
Your answer
What made you want to get STARTED NOW? *
Your answer
List 1-2 Short Term Goals (4-6 Weeks ) *
Your answer
List 1-2 Long Term Goals (4-6 Months) *
Your answer
What's the biggest thing stopping you right NOW from getting to your goals? *
Your answer
Have You've ever worked with a Online Coach? *
If yes, what's one thing you liked? and what's one thing you didn't like? (Type N/A if this doesn't apply) *
Your answer
Have you ever worked with a Personal Trainer before? *
If yes, what's one thing you liked? and what's one thing you didn't like? (Type N/A if this doesn't apply) *
Your answer
Please list any surgical procedures you've ever had? *
Your answer
Do you have any health issues I should know? (type 2 diabetes, asthma, heart murmurs, torn ACLs, etc) *
Your answer
What 2 things are you willing to sacrifice to get your results? *
Your answer
Are you the final decision maker in your household? *
If accepted today, are will able to financially commit for the next 6 weeks? (150.00) *
Would you rather have rapid results that are NOT sustainable or would you rather have sustainable results that are not as rapid? And why? (note: there is no right or wrong answer) *
Your answer
What are two things you need from us within your coaching plan to ensure your success? (Note: there is no wrong answer)
Your answer
Please check all the equipment you will be using during your program. *
Stability ball
Slam balls
Battle ropes
Bench press
Tube Bands
Is there anything else we should know about you?
Your answer
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