Please Take 1-2 Minutes To Fill Out This Quick Questionnaire…

JOIN THE ELITE PHYSIQUES COMMUNITY

Gain special entry to our private Facebook Group, a space where you can interact directly with me, ask questions about the app, share your personal fitness story, and engage with a community of individuals who share the same goals

JOIN THE COMMUNITY

*ONLY fill out the questionnaire if you are serious and ready to make a change RIGHT NOW!

Gender *

Male

Female

Using the body fat percentage chart provided above as a reference, Make an honest assessment of your current body fat percentage. (Select the range that you feel most accurately represents your current state.) *

What is your age? *

What's your height? (feet) *

What's your current weight? (pounds) *

Provide a REALISTIC full day of eating, including beverages and supplements. *

How often do you eat out each week? *

1-2x

3-4x

5-6x

7x+

Do you find yourself falling off track on the weekends? *

Yes

No

What are your short-term (12-16 week) goals? Paint the picture for me. *

What challenge(s) do you hope I can help you solve that will help you get to your goals? *

How long have you been struggling with these challenges? *

What have you tried in the past to solve these problems but have ultimately failed? *

The program requires a minimum 12-week commitment and a one-time investment. Our goal is to equip you with the knowledge and tools you need to achieve your goals with confidence and ease. So, by the end of the program, you will have developed new habits and acquired valuable knowledge that will help you to continue your fitness journey on your own. With that in mind, we would like to know how much you would be willing to invest into yourself monthly over the next 12 weeks if you were confident that our program could help you achieve your goals. *

$200-300/month

$300-400/month

$500-600/month

Whatever it takes

Aside from you, does anyone else need to be involved in this investment decision? *

Yes

No

Full Name *

Email *

Phone *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

What's your Instagram username? *

Please Take 1-2 Minutes To Fill Out This Quick Questionnaire…

JOIN THE ELITE PHYSIQUES COMMUNITY

*ONLY fill out the questionnaire if you are serious and ready to make a change RIGHT NOW!

RFCA © copyright