1.What is your name?

2.What is your email address?

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

4.What is your current fitness routine? If you do not have one, please put N/A

5.What is your level of investment in bettering your health & fitness?

Somewhat invested

Invested

Very invested

All in

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+