*1.What is your name, phone and email? (Important in order to be selected for the right program).(Required.)

2.Are you SICK and TIRED of having excess body fat and REALLY want a dramatic change?

YES

Maybe

No

3.Do you want a leaner body, more energy and more confidence?

Yes, that is exactly what I need!

Sort of, I want that, but I am unsure if I am ready for the change

No, I am happy the way I am now

4.Do you have at least 10lbs of body fat to lose or do you want to GAIN muscle and get shredded?

YES 10lbs or more of fat to lose!

Yes I want to GAIN muscle and get shredded!

No, I like where my body is now!

5.Will you be seriously committed for 12 weeks with a "no excuse" attitude?

YES!

I am not sure

6.Are you coachable and willing to follow a specific meal plan & 4x/ week exercise regiment?

Yes, I am willing and ready!

Maybe, it depends on the regiment

7.What supplements/ protein powders do you currently use?

8.THIS QUESTIONS PERTAINS TO COST: Are you willing to redirect money from your normal food budget, to our specific nutritional line to replace 1-2 of your meals (that GUARANTEES results with 100% money back guarantee)?

YES! I can reallocate $20/day to reach my goals!

YES! I can reallocate $15/day to reach my goals!

YES! I can reallocate $10/day to reach my goals!

YES! I can reallocate $5/day to reach my goals!

No, not at this time.

9.Will you be open to showcasing your RESULTS to inspire others and to show other people in pain what is possible?

YES, I am willing to share my story to help inspire others!

Maybe, depending on what I need to share

No thanks

10.What are your specific body goals AND WHY do you want to achieve this goal? (Please be very thorough and specific)