First Name *

Last Name *

Email *

Phone *

What makes you want to join the challenge? *

What is stopping you from getting to your goals right now? *

In a scale of 1-10 how committed & important are you to changing right now? Be honest. *

You’ve probably joined other programs/challenges, what’s going to make this time different? *

Would you rather to get your goal at a slower place that’s sustainable or a faster pace that isn’t? *

Your beliefs & understanding around fat loss will be challenged—are you willing to let go of old habits & ways of thinking? *

Are you will to participate, engage, & give your best through the whole duration of the challenge? *

Why should we accept you into the challenge? *