Get 7 Days of Coaching, Training, and FUN! Apply Below...


1. First Name *
2. Last Name *
3. Best Email *
4. Mobile Number *
5. How many pounds do you think you are overweight right now? *
6. By how many inches would you like to reduce your waistline? *
7. Over the past year, I have been… *
8. What have you tried in the past to get into your best shape? Why didn’t it work for you? *
9. What is your current condition costing you in terms of your health, self-confidence, relationships, and quality of life? *
10. Our program is not a quick fix. It is designed to be a long term solution to perform better, look great, lose weight and keep it off. So if you find our program to be a good fit after your 7 day trial, are you willing to invest at least $25 per week for at least 6 months for the training, accountability, and coaching that you need to reach and maintain your health and fitness goals? *
11. When I get awesome results and reach my fitness goals... *
12. Do you have any injuries that we should be aware of? If so, what are they and are you cleared by doctor for intense physical activity? *
13. Our clients are most successful in this program when they participate with friends. Please provide name & email for a friend that may be interested, and inform them a Fitness Revolution representative will be contacting them.
14. Questions?