Application for the 12 Week Shred Fitness Program Question Title * 1. What is your name? Question Title * 2. What is your email address? Question Title * 3. Reason you are applying for my 12 Week Shred Fitness Program? Summer is coming! I need help with weight loss I am not sure what to do in the gym I need more accountability & structured routine I want to increase my confidence I travel a lot and need a program on the go Question Title * 4. What is your current fitness routine? If you do not have one, please put N/A Question Title * 5. What is your level of investment in bettering your health & fitness? Somewhat invested Invested Very invested All in Question Title * 6. How much are you willing to invest to better your health & fitness? $750-$950 $1,000-$1,200 $1,400-$1,600 $1,800+ Done