Form Sample -

Name**

First Name* Last Name*

Email*

Phone*

What timezone are you in?

What is your postcode?

Skype

Please include if outside Australia

When is the best time to call you?*

What is your current size/weight?*

If you could wave a magic wand and create your ultimate body confidence transformation what would be different?*

What have you tried in the past to lose weight?*

Tell me about your lifestyle? - What is your occupation? Is it physical or sedentary?*

What do you believe is holding you back from achieving your ideal body and body-confidence?*

On a scale of 1 to 10 how important is investing in a real solution to achieving your ideal weight?*

What are you willing to invest in creating this change?*

Where did you find out about us?

Why do you feel called to work with Bianca & Kylie now?*

Email

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