What's your main goal?

Lose body fat Sustainable fat loss without crash dieting Build muscle Increase strength and muscle mass Body recomposition Lose fat and build muscle simultaneously Build better habits Improve nutrition, sleep and consistency Learn and understand fitness Build the knowledge to train and eat well independently

Great choice.

Your program will be built around this goal from day one.

Tell us about yourself

Which best describes you?

Male Female Prefer not to say

A few more details

Select everything that applies. This helps us design your training and nutrition correctly.

How old are you?

Health screening

These help us build a program that's safe for you. Private, reviewed only by your accredited coach, and never shared.

What's your average resting heart rate?

< 60 beats per minute Slow 60 – 100 beats per minute Normal 101 – 110 beats per minute Slightly fast > 110 beats per minute Fast I don't know

What is your blood pressure range?

< 120/80 Normal 120 – 129/<80 Elevated 130 – 139/80 – 89 Hypertension Stage 1 ≥ 140/90 Hypertension Stage 2 I don't know

Medication & history

A few quick yes-or-no questions.

Within the last 3 months, have you taken opiate pain medications and/or opiate-based street drugs?

Yes No

Have you had prior weight loss surgeries?

Yes No

Do you currently take any prescription medications?

Yes No

Health conditions - list 1

Do any of these apply to you? Select all that apply.

End-stage kidney disease (on or about to be on dialysis) End-stage liver disease (cirrhosis) Current suicidal thoughts and/or prior suicidal attempt Cancer (active diagnosis, active treatment, or in remission or cancer-free for less than 5 continuous years – does not apply to non-melanoma skin cancer that was considered cured via simple excision) Severe gastrointestinal condition (gastroparesis, blockage, inflammatory bowel disease) Current diagnosis of or treatment for alcohol, opioid, or substance use disorder/dependence None of the above

Health conditions - list 2

Health conditions - list 3

Your body composition

Current measurements

Height

cm

Current weight

kg

Goal weight

Target weight

kg

That's a realistic target.

Based on your stats, a safe and sustainable rate of progress is well within reach.

Training setup

Where do you train?

Commercial gym Full access to equipment Home gym Dumbbells, resistance bands or bodyweight Both Mix of gym and home training No equipment yet Bodyweight only for now

Training experience

Beginner Little to no structured training Some experience Train occasionally but inconsistently Intermediate Training consistently for 1–3 years Advanced Training seriously for 3+ years

What's held you back before?

Final details

When do you want to start?

Right now Ready to commit and get going Within the next week Almost ready, just need a few things sorted Within the next month Getting closer, want to learn more first Just exploring for now Curious but no firm decision yet

Where should we send your results?

Your coach will personally review your answers and reach out about your free Initial Consultation, no payment, no obligation.

Full name

Email address

Phone number

By continuing you agree to our Privacy Policy. We will never share or sell your data.

Thank you for your answers. We'd love to help you get there.

Your coach will review your details today and will personally reach out within 24 hours to book your free Initial Consultation.

If you have any question or concern, please feel free to reach out at 0448 388 070.

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