Fitness Transformation Application

I help busy desk-working parents over 30 lose 15-25 lbs in 90 days or less without spending hours in the gym on complicated routines. 

Apply below to see if you qualify.

(Takes 5 min or less)

Email *
First & Last Name *
Age *
Height *
Weight *
Medical issues or food allergies? 

Please explain.
 *
Where would you like to see the MOST improvement? *
Please briefly explain why you choose the improvement above.

This helps me to customize a plan for you.
 *
What's are the biggest struggles holding you back from achieving that fitness goal?

Select all that apply.
 *
Required
Please briefly explain why and how you struggle with the issue above.

This helps me to further customize a plan for you.
 *
What is your motivation (your WHY) behind wanting to achieve that goal?

Think about events like weddings or sports, painful experiences, relationships you want to improve, or health issues you want to avoid.
 *
Do you have a full-time income? *
What do you do for work? *
On a scale of 1-10, how serious are you about achieving your health and fitness goals?
 *
I just like to fill out surveys
Whatever it takes!
Do you have a current exercise and diet plan?

If so, what does it look like?

I.e. types of exercise, length of sessions, on your own or with a trainer, how many sessions per week.
 *
Where would you like your body and mind to be 12 weeks from now? 

i.e. 10 lbs leaner, add 5 lbs of muscle, drop pant sizes, comfortable without a shirt
 *
What have you already tried that doesn't seem to work for you?

Think diets, exercise programs, even former trainers or friend's advice.
The Transformation Program is not cheap, but it is proven to help you lose weight, build muscle, & maintain healthy energy levels for life. 

Are you in a position to invest $250-$1000 in your health and fitness right now? 

Please finish this statement:  "Right now I..."
 *
Are you the sole authority in charge of your decisions or do you have a partner who is equally responsible in the decision making?
 *
Do you confirm you will keep and show up to your scheduled appointment ( 30-min ) ON TIME and DISTRACTION-free?

Please confirm by typing "I Will" in the line below. 

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How did you hear about Brand Marz Fitness? *
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