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The 12 week Shift
What is your Name, Age and Gender ?
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Email address
Phone number
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What is your current weight ?
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What is your height ?
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What is your main goal for the next 12 weeks ?
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What has held you back from achieving your goals in the past ?
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How would your life improve if you reached your goal ?
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On a scale of 1-10 how committed are you to making a change right now ?
How many days a week can you realistically commit to exercise ?
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On average, how many steps do you take per day ?
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What does your typical day of eating look like (include water intake ) ?
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Do you have any injuries, limitations or medical issues we should be aware of ?
What support or accountability do you feel like you need the most to succeed ?
PROMO CODE
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