The purpose of this application is to serve you at the highest level on our next call. 

Your time is very valuable, as is mine, so please be honest with your answers so I can serve you towards creating the best possible result in your fitness, body, and life.

Name *
Phone *
What are your fitness goals in the next 3 months? *
Please select your income range (US dollars) *
If accepted in our fitness coaching program are you currently in a place where you're able and ready to make a significant investment into your health and fitness goals for your future? *
Will you be in a place at our call time where you’ll be fully present and focused? *