Application

Fit and Balanced

Metabolism Accelerator

Fit and Balanced Coaching✨

500+ lives transformed using our 16 Week Metabolism Accelerator Method

Take 5-8 minutes to fill out this quick application and then check your text messages and/or Instagram DMs for next steps.🥂

To confirm, you're filling this out because you want to lose 10-20+ pounds while enjoying your sweets + pizza (guilt free), increase your energy levels, build lean and tone muscle, and optimize your METABOLISM to make this the LAST COACH you'll ever need? *

Yes!🍾 I want to learn more about reaching my goals + feeling confident WITHOUT sacrificing the things I enjoy!

No - I'm going to leave this page immediately and ghost👻

Let's get started! What is your first name? *

And last name? *

Your best contact email *

So we can get in touch about your application and program details!

Your Instagram Handle *

Your best contact number *

So we can reach you via text since emails love to go to spam!

How did you come across this application? *

What are your top 3 health and fitness goals right now? Be specific! (Lose 20 lbs? Feel confident in your body? Tone up? Balance your hormones? Increase energy? Etc. (Explain in depth!) *

What have you tried in the past and why hasn't it worked for you? What has kept you from reaching these goals? The more detail we have here, the better we'll be able to help you! *

How will reaching these goals change your life? What is your WHY? *

Why are these goals important to you NOW? Why can't you wait to start making them happen? *

What is your current occupation and how long have you been doing it?? *

Do you have a significant other? If so, are they supportive of you potentially investing in your weight loss, health, and personal growth? *

Yes, I have a significant other and they are supportive.

Yes, I have a significant other but this is my decision to make.

Yes, I have a significant other but they may need to be on the call with me to make a joint decision.

No, I’m single and make my own rules, lol

Almost done! If you were to find a way to reach your dream body, optimize your metabolism, and learn how to keep your results for LIFE without giving up your favorite foods or cutting carbs... Making Fit and Balanced the last coach you'll never need - would you be willing (and able) to invest in getting the help necessary to get there? *

Yes - I love investing in myself!✨

Yes, I'm resourceful so if you have flexible payment plans that would be helpful!

No, I live month to month and have no access to credit.

If you got accepted right now, is there anything holding you back or do you have questions about anything? *

Be sure to check your Instagram DM requests and email spam folders after submitting this! If you're accepted you'll receive program next steps and a message from Coach Jacey herself.🥂