Kickstart Assessment Application 💪

The Kickstart Assessment is a 1-week deep dive into your health history, your current state of health, your habits, lifestyle, and daily routines.

This is not passive experience. It requires full participation, consistency, and honesty.

You’ll be completing daily check-ins, weighing in, journaling, tracking your food and activity, and following all required tasks for the full 7 days.

Please only apply if you are ready to fully commit.

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Personal Info

Name *

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Last

Email *

Email

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Commitment & Readiness

Have you read all of the Kickstart Assessment What to Expect and Prerequisites information? *

• Yes
• No

*All Kickstart Assessments start on a Wednesday and end the following Tuesday.

When would you like to get started? Please provide the date(s). *

equivalent Why

Are you able to commit to completing all daily check-ins (AM + PM) for 7 consecutive days - including over the weekend? *

• Yes
• No

Do you currently own a RENPHO scale or an equivalent bioimpedance smart scale? *

• Yes
• No

Are you willing to weigh in using this smart scale and share your data daily? *

• Yes
• No

Are you willing to track and journal your food and drink intake for the entire week? *

• Yes
• No

Do you currently own a wearable step/activity tracking device? *

• Yes
• No

A wearable pedometer is also acceptable. It does not need to be a smart device.

Are you willing to wear your activity tracker daily and sync your data to our app? *

• Yes
• No

Why do you feel now is the right time for you to do this? *

What would prevent you from fully committing to this for 7 days? *

The 1-Week Kickstart Assessment is $200 CAD. Are you prepared to make this investment? *

• Yes
• No

How would you like to pay?

• E-Transfer
• PayPal
• Credit Card
• Other

Is there anything else you’d like us to know before we review your application? *

Note:
To complete the Kickstart Assessment, a wearable tracking device and a smart scale are required.

If you do not currently have one or both of these, please wait to submit your application until they have been purchased and set up. Your assessment cannot be scheduled without them.

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