This form helps me understand if you’re a good fit for RevampFit Coaching. Your honest answers will ensure we can get you the results you’re looking for.

First Name *

Last Name *

Phone *

Email *

On a scale of 1–10, how committed are you to losing 20–45 lbs in the next 90 days? *

Are you willing to invest the time, effort, and resources to follow a proven plan? *

What would achieving your goal mean for you? *

What is your biggest struggle with weight loss right now? *

What’s your current exercise routine like? *

How would you describe your nutrition right now? *

Do you have any restrictions or health conditions we should know about? *

What’s your exact goal in 90 days? *

Are you prepared to invest in your health and transformation to get results? *

Have you invested in coaching before? *