Rogers Fitness Academy Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Get ready to change the game!!

9. What's your name? *

10. What's your email? *

What's your phone number? *

What is your main intention of this program? (choose all that apply) *

Fat loss

Muscle gain

Build an unstoppable mentality

Gain confidence

Required

What do you think is stopping you from achieving these goals above? (example: Vices, I give up easy, stress, anxiety, trauma, not seeing results, I need accountability) *

What is your Current Age, Height and Weight? *

Where are you from? (Current City and State) *

What do you do for work? *

6. How is your fitness progress going? (Most are in one of 3 places) *

Poorly (zero to little progress)

Struggling (some progress, but not as fast as you like)

Successful (good progress, just looking to sustain it)

7. If you could begin making fast progress towards your fitness goals, would you be interested? *

Yes

Maybe

12. What kind of help are you looking for right now? *

I want a DIY Solution ($) (Money’s very tight and I’d rather learn and do it by myself)

I want a Done with Me Solution ($$) (Do the work myself w/ customized coaching plan on what to fix with accountability)

I want a Hands On Solution ($$$) (Money's not an issue for you. Want weekly 1 hour mentoring calls with a full rebuild of my daily routine and support from you)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms