Fountain of Youth Fitness - Weight Loss Program Application

If you're ready to take control of your body forever - Let's do this thing!! 🔥🔥🔥
If accepted, can you get started ASAP? *
We can only help individuals who are ready to get started and want to take action as soon as possible. If you are not ready to get started please wait to submit this application until you are! There's no shame in that but those who do not take action are 95% likely to continue to do nothing.
First Name *
Last Name *
Email *
Phone *
Preferred Coaching Style *
What are your ultimate goals? Be specific - the more specific the better we can help! Be realistic and include deadlines, if any... *
How long have you been wanting to reach these goals? *
How long have you been putting in a serious effort to reach these goals? *
At your current rate of progress, how long would it take you to reach these goals on your own? *
After you’ve reached your goals, is maintaining your progress important? *
What have you tried in the past? *
Check all that apply
Required
What is the biggest barrier that is stopping you from reaching your goals on your own? *
Only 10% of weight loss is exercise. The other 90% is nutrition. If we took the guesswork out of this for you, do you think you would see better results than dieting on your own? *
Are you the ultimate decision-maker of your health goals? *
I am ready to reprioritize my spending habits to financially invest in myself to live a healthier and happier life. *
Submit
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