Defy Your Genetics Challenge

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Please take a moment to fill out this quick questionnaire... We will use this information to determine if we can help. We will also be able to provide you with some training material based on your responses.

First and Last Name *

Email *

Cell Phone Number (*NOTE: if you have turned ON blocking unknown numbers on your phone, we will be unable to text you for your consult. Please turn this feature OFF in order to hear back from us. 😊) *

Are you interested in getting control of your body and the way it looks? *

This is what we do so I just want to make sure :)

Yes

What body type are you coming to us with? *

Skinny - need to add some muscle

Skinny fat - I am in a soft fluffy middle area

Medium - I look fairly normal I would say

Chubby - I am soft around the edges

Overweight - I am overweight

Obese - I am more than 50lbs over weight

Bottom Heavy - Top is toned but legs are not

Top Heavy - Legs are toned but upper body is not

Prefer not to answer

Required

What diets / eating habits have you tried before? *

Keto

Beachbody

Atkins

Vegan / Vegetarian

Whole 30

No Carb / Low Carb

Gluten Free

Sugar free diets

Weight Watchers

Macronutrients

Fasting

Paleo Diet

None of the Above

Other:

Required

Do you have any experience with macronutrients? *

Advanced

I know a thing or two

Beginner

Tried and didn't work

Macronutrient's is an overall approach to food that when used correctly gives you immense control over your body composition.

Benefits

- Controlling your body and the way it looks

- Sustainable and long term approach

- Flexibility of still eating foods you enjoy

- Living life without second guessing you diet

Which of the following describe your current situation best? *

I am trying really really hard with my workouts and my diet, but I can't get freaking muscular to save my life. No matter what I do, I still have a soft fluffy look.

I have no idea any more when it comes to my diet, macronutrients, and nutrition. Everywhere you go someone is saying something different. I have no problem putting in the work. I just want to know I am doing the right thing.

I was out of shape, and began to make progress, and now my results have stopped and it's become disheartening. I don't want to fall out of shape again but it's becoming hard for me to keep pushing forward when I am no longer seeing results.

I am using macronutrients, this flexible framework is so interesting to me, and they are something that have helped me progress. But I am seeing now that there might be more to this than I first thought... and I want answers

Food controls me. I am so unsure about what I should be eating, and if I am doing the right thing, that every morning when I wake up, I feel a sense of worry. This is unhealthy and I want to fix it.

I feel like a roller coaster. I can get in shape but I do it in ways that break me down over time, and I just can't sustain it. I want to learn something sustainable so I can get results that last.

I have been out of shape for quite some time. I need a full on reboot. I need you to believe in me because I am not sure I do any more

I feel like I am already in pretty good shape. I just want to take things to the next level. I have pushed my experience to the limits of where it can take me and am looking for more

I am really uncomfortable in my skin, and it is beginning to wear down my confidence levels, and is starting to have a downward impact on other areas of my life.

Other:

Required

How committed are you to solving this problem today? *

5/10 - I don't want to improve my situation that much and am OK not making more progress than I have now

7/10 - I am pretty frustrated with things right now, and want to get them sorted... the sooner the better

9/10 - This is effecting my confidence, energy, and how I am showing up in life. I want to fix this ASAP!!!

10/10 - I will literally do anything to get this situated, I do not want to go on one day longer without a sustainable, healthy, long term program that will improve my body composition, and make me feel better

Rate your current satisfaction with your body at this exact moment. *

I am unsatisfied with my body / I want to change

I love my body how it is

Where would you like to be 6-12 months from now? *

I want to feel like I am in control of my body and the way it looks.

I want to feel free from food and the mental chatter that comes with not understanding it.

I want to feel like I can do this myself, and am not dependent on a trainer / nutrtionist

I want to drop 10-15 lbs of fat

I want to drop 20+ lbs of fat

I want to add lean muscle tone

I want to enjoy a body that commands respect

I want to live a healthy lifestyle that deserves respect

Other:

Required

What is holding you back from achieving these goals? *

Please select all that apply to you.

I have a hard time sticking to a diet... I think because I have a hard time believing it'll work long term.

I can stick to a diet, they just always stop working after a certain point, and then I quit them

I have no problem putting in the work, I am just not sure on what I am supposed to do!

I have trouble trusting the process and need something full proof that I can understand myself.

I don't have the right knowledge. The confusion is causing inaction and I am done with it.

I have a hard time committing and need a HEAVY element of accountability and support

I don't have a community or people around me who thing like me and can support me.

I don't have any expert coaches, or advice that helps me get back on track

Required

Please share any other things you think are your big obstacles holding you back from your health and fitness goals. *

What are the most important goals you want to reach with your fitness? and please explain why you need Ty's help. *

Are you prepared to take action RIGHT NOW to invest significant time, energy, and finances in your yourself to reach your goals if you knew with 100% certainty that you would get there *

YES, ABSOLUTELY!!

No, I am not ready yet.

If you're accepted into our program how soon can you get started? *

YYYY

Where did you hear about us? *

Ex. Facebook, Instagram, YouTube, Referral, Etc.

Age *

Instagram Handle *

Enter N/A if you are not on social media or don’t want to follow the Simply Squad.

Anything else I should know? *

Submit

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