Prescription medications taken (list name, dosage, and what for) *

Health issues, physical restrictions, recent surgeries, allergies *

Current type of exercise and frequency (home or gym?): *

Are you in a position to be able to make a significant investment in your health and fitness journey? *

I have the financial resources to invest $3,000 – $6,000 – I’m ready for full, personalized support and I know investing at this level will help me get long-term, life-changing results.

I have access to the financial resources to invest $1,000 – $3,000 – I’m ready for guided support and accountability to help me make real progress.

I do not have access to the financial resources to invest

Is there anyone else, such as a spouse, significant other, or parent, whose input or support you would like to include in making this decision? *

How long have you been following me and have you Been to my Youtube Channel? *

How many calories do you consume in a day on average based on tracking in My Fitness Pal? If you don't know, what is your estimate *

What are your fears? Who is your support system: *

If you're accepted to work with Elizabeth Aylor, how soon can you get started? *

What is your "why" in doing this? Why do you want to better yourself or your health (a deeper reason that your goal): *

Sign Up To Join My 90 Day Whole Body Transformation

Please fill this form out with as much detail as possible. This information will be used to create your plan and to best coach you, so you get results and achieve your goals. You will be sent to my calendar to book a free discovery call with me