THIS IS A NEW EXPERIMENT! I'm looking for no more than 20 men aged 35 - 55 who are struggling to lose weight to test an online fitness program with the intention of losing stubborn belly fat and getting visible 6-pack abdominal definition in 2018. I expect this program to get you better results, but I'm only accepting 20 guys to test it out at the start of January at a heavily discounted price. Would you like to try it? If so, please fill out the application form below... First & Last Name: E-mail Address: Phone Number: Mailing Address: Age: Height: Bodyweight: Gender: Male Female What's Your Main Fitness Goal: Build Muscle Lose Fat Both How committed are you to reaching your fitness goals and building a lean muscular physique? On a scale of 1-10 how committed are you, with 1 being you just want to sit on the couch eating Doritos, and 10 being you would workout daily and eat boiled chicken if that's what it takes. 1 2 3 4 5 6 7 8 9 10 Are you willing to invest $150-$350 per month to improving your health and fitness? Yes No How long have you been working out? (If you have been working out "on & off" then be specific) What exercise equipment do you have available? (i.e. home gym, commercial gym, what type of equipment, etc.) Do you smoke or drink alcohol? (If so how much, how often, etc.) List any nutritional supplements that you are currently taking: (i.e. protein powder, vitamins, creatine, etc.) What is your biggest challenge / frustration when it comes to losing weight? If you have any problems filling out the application, please email Leeh@LeeHayward.com