The purpose of this application is to help me better understand what you need to take your health and fitness to the next level and beyond!

Name *
Phone *
Generally speaking, which of the 2 categories, do your health goals fall under? *
Within the next 3 months, which of the 2 following goals, would you rather reach? *
On a scale of 1 to 10 how serious are you in reaching these goals? (1 being not important at all and 10 being it is one of the most important goals for me to reach) *
Will you be in a place at our call time where you’ll be fully present and focused? *