Kickstart Application 💪

Kickstart is a guided 4-week experience designed to help you understand your current starting point, build awareness, and create a personalized path forward.

This is not a passive experience. The more you participate, reflect, and engage with the process, the more valuable your Kickstart will be.

Throughout your experience, you’ll be guided through observation, check-ins, reflection, tracking, education, and personalized recommendations to help you better understand your habits, lifestyle, health, and goals.

Please apply only if you’re ready to be an active participant in your own transformation.

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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

When would you like to get started? Please provide the date *

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

• 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? *

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? *

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