APPLICATIONWe make you accountable. We give you structure. We motivate you. APPLY NOW Name First Last Email AgeHeightCurrent Body Weight In PoundsGoal Weight In PoundsWhich of the following would you say contribute to your current state? Check All That Apply Poor eating habits Getting lazy Poor consistencyBelly fat locationFrontSideBackAll of the aboveIf you checked poor eating habits please check all that apply Skipping Meals Over / Under Eating Eating fast foods / restaurantsWhen eating fast food or dining at restaurants, how much are you spending weekly? $0-$50 Second Choice$51-$100 $100+How long has it been going on for?0-6 Months1+ Years5-10 Years10+ YearsIf you clicked "getting lazy" in question 9, please click all that apply snoozing alarm excuses/rationalizations for your current state Feeling lostIf all of the above continued for another year, what would that look like?How would that make you feel?What might life be like when you reached your goalsWhat was the tipping point that made you take action and doing something about this?