Book A Elite Wellness Blueprint Fitness Audit With Tasheema

Full Name *

Email *

Phone *

How long have you been trying to lose weight? *

What do you think is holding you back? *

What have you tried already to fix it in the last 6-12 months i.e diets, health coaches, weight loss drugs, surgery, etc *

Have you ever hired a coach before to help you accomplish your goals? *

Are you willing to invest in your health to get the coaching you need?

Do you earn 6-figures a year and work 50 hours a week or more? *

If you do not earn a 6-figure income, are you willing to become resourceful to get the coaching you need to succeed *

How much are you willing to invest to get the coaching you need to be successful *

$7500-$10000

$10000-$20000

$20000-$50000