JOIN OUR 6 WEEK SUMMER SLIM DOWN CHALLENGE

CHALLENGE BEGINS MONDAY, JUNE 30TH

ONCE FORM IS FILLED OUT I WILL SEND A TEXT TO CONFIRM YOUR CONSULT/WEIGH IN, DURING APPOINTMENT WE WILL GO OVER ALL DETAILS! WEIGH INS WILL BEGIN MONDAY JUNE 16TH. COME IN AND FIND OUT HOW YOU CAN DO IT ALL FOR FREE!

Realistically, how much weight would you like to lose overall?

Name

First Name

Last Name

Phone

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CHOOSE YOUR TIME SLOT

What are your three main goals?

Goal #1

Goal #2

Goal #3

Are you able to commit 3x a week?

How would you describe your exercise routine?

Have you struggled with weight loss in the past?

Why have you struggled with weight loss?

Have you had trouble sticking with an exercise program? If yes, why?

Please give a detailed explanation on why you have not been able to stick to a program?

What is your dream goal?

How do you plan on sustaining your dream goal once it is achieved?

Why do you think you will succeed this time? What has changed?

IF YOU HAVE ANY SCHEDULING CONFLICTS, PLEASE FILL OUT THE FORM ABOVE AND EMAIL OR CALL KAMEO. SERIOUS INQUIRIES ONLY PLEASE.

Name

First Name

Last Name

Subject

Message