Free ConsultationApplication for a FREE consultation with Terrence or a select member of his team. Fill out the form below. Company First Name * Last Name * Phone * (You will receive a text message reminder before your appointment )* Email Address * ( to schedule a FREE consult notifications will be sent to this address )* What is your main concern relating to your health & fitness? * Have you had experience trying to address this concern before? * Have you ever worked with a health & fitness coach? If so, who? * Do you have any current injuries or are you physically compromised in any way? * Do you have any medical history to disclose? * Are you currently taking any medications or supplements to address a medical or health concern? * What is your current occupation? * What is your biggest struggle right now?* * If accepted how soon are you looking to get started? * What would be the most important criteria for your success as we work together? * If you enrol in our program, where do you expect to be in 4 months? * I only work with people who are ready and willing. I want to make sure this is a good fit. Why do you think you would benefit from a call or be good to our mentorship, if accepted? * Are you willing to financially invest in coaching if you feel it’s what you need?* * Will you show up on time? * Yes No If not, please do not book a FREE consult.* I realise that I will be scheduling a real time consult with Terrence or a select member of his team. * I Agree I will respond to text or email communication with Terrence or a select member of this team when they reach out to schedule my FREE consult. * I Agree