First Name *

Last Name *

Email *

Phone *

Country *

Instagram URL *

Facebook URL *

What is your goal with your health and fitness? *

Why do you want to achieve this goal? Dig deep when answering your 'Why' for this question! Is there an emotional reason behind what you want to accomplish? *

How long have you wanted to make this change?

Has there been a life changing event that's made you want to make this change? i.e. having kids or an injury or illness? *

If yes, please specify *

What exercise or weight loss programmes have you tried in the past? *

What did you like or dislike about what you’ve already tried? *

Why did it fail for you? Why do you think it didn't work out in the long term? *

Tell us about your support system. Would your significant other be on board with you starting this programme? Remember, 80% of people fail programmes because of lack of support. *

How often do you go out to eat? *

How much do you spend on eating out per week? *

Do you drink soda? *

How much do you spend on coffee and/or snacks per week? *

Do you feel like you are full of energy or do you get tired a lot? *

Do you get enough sleep at night? *

At what time of day you lose energy? *

Do you think you are at a plateau with your weight loss? *

What does a typical day look like for you? Are you active during the day? Do you sit behind a desk? Do you watch a lot of TV? *

How much do you spend on your health goals currently on a monthly basis? i.e gym memberships, personal trainers, health foods *

Do you have a monthly budget in mind when it comes to making a difference in your health goals? *

Would you be interested in saving 25% a month on your health and nutrition? *

Would you like to arrange a free health and fitness consultation with an Intu Fitness coach? *

How quickly would you like to start a new programme? *