Application Form - habitlab.in

APPLICATION FORM – Habit Lab

Application Form

Greetings from Coach Fabil — before starting your Transformation journey, we want to know you, your goals and be 100% sure we can help you reach them.

Note: Applications are reviewed personally. Not all applicants are accepted.

Personal Information

First Name *

Please enter your first name.

Last Name

Date of Birth *

Please enter a valid date of birth.

Email Address

Mobile Number * The number you use for WhatsApp

Please enter your mobile number.

Your Background

What do you currently do? * Profession or education

Please fill in your profession/education.

Your current place? *

Please enter your location.

Fitness Goal

Primary Fitness Goal * Our coaching is a complete lifestyle change — we improve Nutrition, Training, and Lifestyle simultaneously.

Fat Loss

Manage stress, mindset & quality of life

Improve Health

Muscle Gain

All of the above

Please select your primary goal.

Have you tried dieting or training before? If yes, what was the issue? Why weren't you able to reach your goal?

How You Found Us

Where did you first hear about us?

Friend / Family

Instagram Follower

Facebook / YouTube

Other

Health & Commitment

Any known health issues? This is 100% confidential and used only for strategy setup.

How committed are you to reach your goal? *

Not SureAbsolutely Committed

5 / 10

How soon are you planning to start? *

Immediately

Within 1–2 weeks

Within 1 month

Just exploring options

Please select an option.

Investment Readiness * This is a hyper-personalised habit coaching engagement. The 3-month coaching fee typically falls between ₹12,000 – ₹16,000 based on the level of support.

Yes, I'm ready to invest

I'm in a position to invest in my health right now.

Not right now

I'm not in a position to invest at this time.

Please select an option.

Your information is kept confidential and reviewed personally by Coach Fabil.

Real Results