Qualification Application | Rugged North Fitness

First Name*

Last Name*

Email*

Phone Number*

Which Program Are You Applying For?*

42 Day/6 Week Program
Other (answer below)

If "Other" Please Specify

Where did you hear about us?*

What is your goal?*

Example:
...Lose 50lbs
...Tone Up
...Get to 10% body fat
...Be healthy for my children
...Overcome anxiety/depression
Please be very specific. Goals do not need to be physical goals.

What have you tried in the past?*

Check All That Apply:

Gym Membership
Personal Trainer
Shakes Program
At Home Diet/Workout Plans
Wt Watchers/Jenny Craig/Nutrisystem
Diet Pills/HcG/Surgery/etc.

What stopped you from achieving your goal AND/OR sustaining it?*

Example:
Sustainability of the Plan
Needed Accountability
Didn't Know What To Do
Hit A Plateau Then Gave Up

What would need to happen in one year for you to look back and think "This was the best decision I've ever made, I'm so grateful I did this!" ?*

On a 1 to 5 scale, how dissatisfied are you with your current state?*

1=Comfortable
5=I Will Do Whatever It Takes To Change.

Is your Partner supportive of your health goals?

Yes
No

Do you need their permission to do things or can you make your own decisions for your health?

I can make my own decisions.
I will need my spouse/partner (if so, they will need to be on this call with you)

We work OFF a waiting list primarily. If selected, WHY will you be a good client to work with?*

Are you willing to invest financially to reach your goals?*

If you came in through a promotional offer, then this would mean other things like buying different food or supplements to support that goal. (Yes or No)

Yes
No

If you say "No", the call will be cancelled. We cannot help people who are unwilling to reprioritize spending habits to match their new goals.

NOTE: Most people still see cost savings changing bad habits.

If accepted, how soon are you looking to get started?*

If you are not ready, please wait and schedule until you are.
We expect individuals who feel they are ready to get started.
Those who do not take actions are 93% more likely to continue to do nothing.

I am ready to get started
I am not ready (Please Stop Filling Out This Application)

Please type the word "YES" in response to the following statements if you agree:*

1) I am a person who keeps my commitments and will show up on time to an appointment.
2) I realize that the coaches I am meeting with are in fact "real people" with families and lives of their own who also value their time.
3) I acknowledge that they are not training paid clients in order to meet with me. They are giving their time freely in order to help me, and I will honor their time as they are honoring mine by being on time.

Please Type "Yes" To The Following Statements If You Agree:*

1) I will respond to the text when they reach out.
2) I will confirm the appointment via text by responding "yes" or "no" that I will show up.

Qualification – Please Complete This Application