Complete This Survey (step 2/2)
This helps us better serve you on the call. Low effort on completing the application will result in cancellation of your call.
First Name
*
Last Name
*
Email
*
Phone
*
Age
*
Country
*
United States of America
Australia
United Kingdom
United Arab Emirates
Canada
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
China - Hong Kong / Macau
Colombia
Comoros
Congo
Congo, Democratic Republic of (DRC)
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
French Guiana
Gabon
Gambia, Republic of The
Georgia
Germany
Ghana
Great Britain
Greece
Grenada
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel and the Occupied Territories
Italy
Ivory Coast (Cote d'Ivoire)
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea, Democratic Republic of (North Korea)
Korea, Republic of (South Korea)
Kosovo
Kuwait
Kyrgyz Republic (Kyrgyzstan)
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar/Burma
Namibia
Nepal
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia, Republic of
Norway
Oman
Pacific Islands
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic (Slovakia)
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Netherlands
Timor Leste
Togo
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Uganda
Ukraine
Uruguay
Uzbekistan
Venezuela
Vietnam
Virgin Islands (US)
Yemen
Zambia
Zimbabwe
Occupation
*
Busy Professional
Self-Employed / Business Owner
Student
Currently not working
Height
*
Current weight
*
Current Body Fat Level
11-12%
13-15%
16-19%
20-24%
25-30%
35-40%
What are the
most important goals
you want to reach with your fitness?
And please explain why you need Xenios's help
.
*
What have you
tried before that didn’t work
and what is the
biggest obstacle
holding you back from reaching your goals?
*
How are things going in other areas of your life (work, financial, relationships, etc.)?
*
What is your profession?
*
Do you have any
health problems, current or past injuries
?
*
If everything goes well with the call and you see the value of our Spartan Coaching program,
financially are you in a spot to invest in your health
if you knew with 100% certainty that you would get there?
*
Yes, absolutely! If I see the value, I am all in.
No, I don't have money to invest in my health.
If you're accepted into our program how soon can you get started?
*
Please select your call preference:
*
Facebook Messenger (We will send you instructions on how to add me as a friend)
Zoom (We will send you instructions on how to join the call via email)
Phone Call (Choose this ONLY if you don't have Facebook or Zoom)
Our time is extremely valuable and we want to make sure that you will show up at your appointment.
Do you promise to show up for your scheduled appointment ON TIME and DISTRACTION FREE?
Please confirm by typing, "
Yes I will
" in the box below.
*
Do you have a positive attitude?
We only work and accept in our program people who are positive and want to help others.
*