Application Form
For becoming the fit lady you were meant to be!
Email address *
First and Last Names *
Your answer
Gender *
Age *
Your answer
Height in cm *
Your answer
Weight in kg *
Your answer
Address and Country *
Your answer
Phone number *
Your answer
What programme are you interested in? *
Required
What's your favourite food? *
Your answer
Have you had a coach before? *
In a year's time, what shape would you like to be in? *
Your answer
What do you think I can help you achieve? *
Your answer
On a scale of 1 to 10, how committed are you to achieving your health/fitness goals? *
I'd rather eat chocolate in front of the TV all day
Can we get started TODAY???
Is there anybody else who may be involved in your decision to hire a coach or stick to a health/fitness programme? *
Where did you hear about me? *
Your answer
A copy of your responses will be emailed to the address you provided.
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