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Rock THAT Frock 42 day transformation consultation
Congratulations on taking action and making the first step towards achieving the body and life you desire. By filling in this form we will get a better understanding of your needs and make sure you are a right fit for our program.
Scroll down and fill in your details to get started.
Name
*
First
Last
Email
*
Phone
*
City
*
How much weight do you want to loose?
*
1-5kg
5-10kg
10-20kg
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?
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Why do you want to take part in this challenge?
*
What's the best time to call you?
*
Morning
Lunchtime
After work (6pm - 8pm)
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