EmpowHER Transformation

Moms will be selected for this transformation before 9 May 2025.

Are you a busy mom craving a healthier, stronger, and more confident version of yourself?
The EmpowHER transformation is designed for time-limited moms who are ready to take control of their health and fitness. With efficient workouts, simple nutrition guidance, and personalized support, this program fits into your busy schedule and helps you achieve real results, IN GYM or AT HOME!

This transformation is R1500 for 6 weeks payable on or before 9 May 2025. Transformation starts on 12 May 2025. Follow js_fitnesssa on Instagram for updates.

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* 1. How old are you?

20-29

30-39

40-49

50+

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* 2. How many children do you have, and what are their ages?

1 child

2 children

3 or more children

Ages (please specify)

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* 3. What is your current fitness level? And what is your main health & fitness goal? (Select multiple answers)

Beginner (little to no regular exercise)

Intermediate (exercise 1–3 times per week)

Advanced (exercise 4+ times per week)

Weight loss

Gaining muscle/toning

Increasing energy, stamina and improve overall health and well-being

Other (please specify)

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* 4. What is your biggest challenge when it comes to fitness and health?

Lack of time

Lack of motivation

Lack of knowledge

Struggling to see results

Other (please specify)

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* 5. What are your food preferences or dietary needs?

Balanced (includes carbs, protein, and fats)

Vegetarian or plant-based

Gluten free

Other (please specify)

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* 6. Do you have any specific health challenges or medical conditions? (Check all that apply)

Diabetes (Type 1 or Type 2)

High blood pressure

Hormonal imbalances (e.g., PCOS, thyroid issues)

Joint pain or injuries

Not Sure

None

Other (please specify)

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* 7. How much time can you realistically dedicate to exercise each week? Do you have a fitness tracking Watch?

1–2 hours

3–5 hours

6+ hours

Yes I have a fitness watch

No I don’t have a fitness watch

EmpowHER Transformation

Moms will be selected for this transformation before 9 May 2025.

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* 1. How old are you?

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* 2. How many children do you have, and what are their ages?

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* 3. What is your current fitness level? And what is your main health & fitness goal? (Select multiple answers)

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* 4. What is your biggest challenge when it comes to fitness and health?

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* 5. What are your food preferences or dietary needs?

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* 6. Do you have any specific health challenges or medical conditions? (Check all that apply)

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* 7. How much time can you realistically dedicate to exercise each week? Do you have a fitness tracking Watch?

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* 8. Why do you want to join this transformation program?

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* 9. Please fill in your, Name, Surname, Cellphone Number & Email address

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