HOPE HABITS HAPPINESS HEALTH

You are already 100% worthy & powerful, just as you are, right now

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Book your free consult with me to discuss options to work together!

Give me a better understanding of who you are, where you’re at, & where you want to go in your fitness!

The more honest you are the better I can support you.

I look forward to speaking with you!

First Name *

Last Name *

Email *

Phone *

How did you hear about MLRosko Fitness? *

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What is your age & weight & height? *

Describe your best & worst traits *

What are your current health goals? Select all that apply. *

I want to lose weight

I want to gain strength

I want more endurance

I want more energy

I want to work on my mental health

I want to feel more confident in my body

I want to gain more mobility & flexibility

I want to have a better fitness routine

I want to create healthier habits

I want to overcome emotional eating/yo-yo dieting

I want to have a better relationship with food, exercise, fitness

How would you best summarize your health goals? *

What is stopping you from being where you want to be? *

What solutions do you think would be helpful for you? *

Why do you want this? What would it mean for you to improve your health? *

You don't have to go into the details, but what is your current financial situation? *

I barely make it by living paycheck to paycheck.

I have an amount set aside in my budget for health/self-growth

I make enough after living expenses that I have some wiggle room

I am able to set aside a pretty good chunk of savings each month after my living expenses

Does your partner (or any other deciding party) support you to make WHATEVER decision you choose for yourself? If you need someone else’s go ahead, please either bring them to the call or come to an agreement before the call. *

Yes, they will be 100% on board.

No, but I will either bring them on to the call or come to an agreement before the call.

N/A

If we both agree on working together, how soon are you looking to get started? *

Anything else you'd like me to know before the call?

Please note that showing up more than 5 minutes late without prior notification to our appointment will result in an automatic cancellation.

I realize I am booking a real appointment with a real person. I promise to respect both of us by showing up for the time I select, in a quiet place, without distractions. I understand I am under no obligation to say yes or agree to something I do not want. I understand that this call could potentially be the beginning of my biggest health & life transformation :) *

Yes, I understand

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