Amazing 12 Week Physique Name First Last Email* Phone*Why do you want to take part in the Amazing 12 week physique?How important do you feel the A12WP could be in improving your health and life?What values define you as a person?What motivates you to want to improve your health and fitness?On a scale of 1-10, how do you feel about your body? 10= 100% confidence.12345678910Are you ready to change your eating and exercise habits permanently?YesNoMaybeDo you currently exercise?yesNoWhy do you think you aren't at your desired goal right now?What barriers have stopped you from getting to where you want to be? time, unsure what to do in terms of exercise and nutrition etc.What sort of training have you done in the past and how much have you spent trying to reach your goals?If chosen for a place on the A12WP, what time would you prefer to train?6am7am6pmGetting incredible results is going to require you to train 5 days a week for the next 12 weeks, are you ready to do that?YesNoHow did you find out about the Amazing 12 ProgrammeSocial MediaAdvert in PaperWord of MouthAll applicants must book in for a consultation to discuss their application further. Please choose an option below.*Skype CallPhone Callmeeting in person