Application - Get Lean Stay Lean

Name

Email

Age

Height

Weight

Location in the World?

Waist Measurement

Hip Measurement

What's your occupation/job/career?

What's your short term goal?

What's your long term goal?

What do you think has been holding you back?

Have you any medical conditions or taking any medication?

If yes - please detail below

Give me some information about your current eating habits...

Tell me about your current exercise levels?

List ingredients/foods that you like eating...

Where do you shop?

Which fits your lifestyle best?

Do you get cravings for anything?

Do you feel tired after eating a large meal?

Outside of exercise, how active do you think you are?

Who recommended me?

What other "diets" or styles of eating have you used?

Why do you want to do this? What's motivating you?

Are you comfortable investing the £299 & 12 weeks of your time?

Upload a "before" photo.

Accepted file types: jpg, jpeg, png, gif.

Can images you send be used on social media?

Anything else you want to add...