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Save my spot for : Help! Where did my waist go?
Congratulations on taking action and making the first step towards better health and rediscovering your waistline.
By filling in this form we will save you a spot on the program and will schedule a phone call in which we can determine how best to help you achieve your goals.
Scroll down and fill in your details to get started.
Name
*
First
Last
Email
*
Phone
*
City
*
How old are you?
*
20-29
30-39
40-49
50-59
60-69
What has stopped you achieving your goals in the past?
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On a scale of 1-10 how committed are you to achieving your goals? (1 being Not Very; 10 being VERY)
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What are your top 3 health and fitness goals?
*
Why do you want to take part in this program?
*
What's the best time to call you?
*
Morning
Lunchtime
After work (6pm - 8pm)
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