Application for 12 Weeks to Stage

12weeks
Before and After – Thomas Moore
2015 “12 Weeks to Stage” participant You can read his blog about the experience here.

Accept the “12 Weeks to Stage” Challenge

Are you or a friend up to the challenge of competing in a fitness show? Christina Larson and the His & Her Fitness team are again offering the opportunity to participate in their “12 Weeks to Stage” training program.
It’s simple. Refer a friend or family member who loves a challenge, wants a healthier lifestyle, and is ready for a transformation.
The selected participant will receive a personalized exercise routine and nutrition plan from H&H (valued at more than $3,600), benefit from nutritional supplements donated by Optimum Nutrition, and participate in a professional photo shoot.
 12 Weeks to Stage participant must be ready to:
  • Maintain weekly weight training schedule – 3x/week
  • Complete creative cardio at H&H on off days – 6x/week (or whatever is needed for success)
  • Keep mandatory food journal – daily
  • Email trainer with progress reports – at least once a week
  • Tell story via social media – ex. Facebook/Twitter/Linked In/Instagram
  • Inspire others and continue healthy habits after “12 Weeks to Stage” ends
  • HAVE FUN!
Applicants need to be referred by a client currently training at His & Her Fitness. They must be outgoing, capable with social media, and committed to sharing success stories. They should also have a positive outlook and be comfortable when working with a team.

Please complete the following information to apply for this special opportunity.

 

    Name (required)

    Address

    City

    State

    Zip

    Phone

    Your Email (required)

    Occupation

    Age

    Height

    Weight

    How long have you been at your current weight?

    Which H&H team member or client referred you?

    When you are faced with an unfamiliar problem, what do you usually do?
    Address the problem immediatelyThink about what to do and then take actionSit back and let things work out for themselves

    Compared with other co-workers, how quickly do you usually complete your tasks?
    I am usually finished before everyone elseI finish faster than most of my co-workersI finish right on timeI frequently turn in tasks late

    During normal conversation,how quickly do you speak?
    Faster than most peopleAt an average paceSlower than most people

    How often do you finish other people's sentences because they speak too slowly?
    FrequentlySometimesAlmost never

    Have you ever been waiting at the doctor's office 30 minutes past your appointment time, and have several chores to do when you get home. What do you do?
    Read a magazineKeep checking your watchGet impatient and somewhat angryComplain to the nurse

    How often are you late for appointments?
    Most of the timeSometimesRarelyNever

    When you are playing a game, how important is it for you to win?
    Very importantSometimes importantNot important at all

    How would your co-workers and friends rate you?
    Always hardworking and seriousSometimes hardworking and seriousRarely hardworking and seriousCarefree

    How would your closest friends rate your general activity level?
    Too slow - never gets anything doneSlow - but gets things doneAverage - reasonable busyToo active - should slow down

    When you have free time, what would you prefer to do?
    SleepWatch TVGo ShoppingCatch up on work or household chores

    Looking back now, how would you rate your behavior as a child?
    I was a problem childI was difficult to disciplineI was an ordinary childI was a little angel

    Do you keep a daily schedule or calendar of your plans?
    No, neverSometimesYes, always

    When you are in a group situation (like completing a group project), how do you usually act?
    I rarely participateI act as a team playerI take charge

    How far in advance would you prepare for a group presentation?
    Two weeks ahead or moreAbout one week before the testA day or two beforehandI usually don't prepare

    What is an ordinary day in your life like?
    Full of problemsFull of funA mixture of problems and funThere are never enough things to keep me busy

    How many days per week do you engage in physical exercise?
    Four or moreTwo or threeOneI don't exercise