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?

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