Enquiry Form

WHAT DO I WANT AND WHY?

“If you don’t go after what you want, you’ll never have it”

*(denotes required field)

Name: *

E-Mail Address: *

Phone: *

You have contacted BodyClocq because you are looking for our help in achieving your goals – it could be a physical transformation, a mental transformation or both! What is it that YOU really want? Do you want to finally being able to fit in those jeans again? Have more energy? More self-confidence? Or be able to feel great both in and out of your clothes?! Whatever it is write it down here:

What is it that YOU really want? *

So here’s THE QUESTION Are you ready to change and become who you want to be?

Are you ready to do what it takes? *

Why now? *

What has kept you from succeeding and making these changes in the past? *

Are these reasons still a problem? *

What motivates you? *

Ok, now let’s take a break from reality, without questioning I want you to put down what you’d REALLY want to achieve MORE THAN ANYTHING! The sky’s the limit but be specific. Now this could be anything from getting back the figure you had in your 20’s, to competing in that longed for triathlon!

What do you REALLY want to achieve MORE THAN ANYTHING? *

What are you willing to do to achieve your goals? What changes are you willing to make? Would you give up your favourite food? Get up early in the morning? Plan you day ahead of time? Are you ready to do whatever you need to get results?

What are you willing to do to achieve your goals? *

If you find that you aren’t willing to make any changes to achieve the goal you’ve written - then this might not be the right goal for you, take 5 minutes and look within yourself and think what you know you’d be willing to change for…………if you want to, go back and change your goal to one you know you really want!

What are you absolutely NOT willing to do to achieve your goal? What will you not give up? Would it stop you from getting the results you want? *

Now, take a moment, close your eyes and visualise yourself on the day you reach your goal……..How good do you feel? How great do you look?! You have the confidence to wear what you want and the energy to go through every day enjoying each moment and living life to the full!

When you have reached your goal what will it mean to you? *

Now that you have a picture of how great you’ll look and feel you need to understand what is driving you to achieve this result.

Why must you (not should you) achieve this and what would happen if you didn’t get the change you were aiming for? *

Enter the code from above *