Harmony Application

Harmony - Mind and Body

Complete this short application form to take the first step to dropping 12-20lbs (or more) and Thriving through your Peri- and Post-Menopause years.

Full Name

What are you looking for? *

A quick fix, to lose lots of weight very fast

A long term solution that will fit into my busy lifestyle and that is sustainable

You're interested in joining Harmony because... *

Want a low cost program that has little commitment

Ready and serious to make changes to my health, fitness and mindset

Which best describes what you're looking to achieve? *

Lose 10lbs or less

Lose 10-20lbs

Lose 20lbs or more

A change in body composition

What is your biggest struggle when it comes to making long-term changes to your health & fitness? *

What are the goals you want to achieve by joining the program?

Why is achieving this important to you at this time?

Please enter the best number and email to reach you

Phone *

Email *

How would you prefer to be contacted? *

Email

Text

Phone Call

Thank you, I will contact you soon! Or if you're ready you can go ahead and book a strategy call with me personally to discuss the details of how we can work together to help you reach your goals. Please choose the date and time that works best for you on the next page.

http://www.maialetitiafitness.com

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