A1 Lifestyle Fitness Application 
Please fill out this form in it's entirety to ensure you receive the most accurately customized program the meets all of your fitness goals.
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Email *
What is your Full name? *
Phone Number *
whats your Occupation  *
How old are you? *
What is your exercise experience ? *
Are you financially ready to invest in yourself minimum 12 weeks ? *
What are your biggest struggles in trying to achieve your goals alone? *
 *
What Is / Are Your Ultimate Goals?
 *
If our program is aligned with your goals and you're willing to invest in your health, when do you want to start
 *
Would you, for any reason, need your spouse's permission in order to make a financial decision? *
 *
If after learning about the program and are happy with what is included, are fully aware of your finances & budget for the program at this current moment? (NOTE: Please do not select "yes" until you look over your finances and know what you can afford
 *
This might sound like a silly question because you've made it this far BUT, will you show up on time? (We value your time, we just ask the same in return) * *
 *
SCHEDULE YOUR ASSESSMENT 
https://app.acuityscheduling.com/schedule.php?owner=23753057&appointmentType=37466511
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