Confidential registration

Register for the Metabolix 30-Day Challenge

Answer each question honestly. Your information helps the coach assess suitability and personalise your food and exercise programme.

Before you start

Health and lifestyle screening

A “yes” answer does not always exclude you. It may mean Metabolix needs additional information or professional clearance before issuing your plan.

Not an emergency service.

For chest pain, fainting, severe breathlessness, sudden weakness or other urgent symptoms, seek emergency medical care immediately.

Full name *

Email *

Mobile number *

Age *

Suburb / province *

Preferred contact

Primary goal and desired Day 30 outcome *

Usual eating pattern, favourite foods, foods avoided, allergies, cultural needs and weekly food budget *

Medical conditions, recent surgery or injury, pregnancy or breastfeeding, eating-disorder concerns, medicines and supplements *

Current activity, exercise experience, limitations, available equipment and preferred training days *

Required declarations

I confirm that I am 18 years or older. I confirm that my information is accurate. I consent to Metabolix using this information for screening, personalisation and challenge communication, subject to its privacy notice. I understand this programme is not medical treatment and clearance may be required.

Do not include identity-document numbers, bank details or unnecessary medical records in this form. Metabolix will request further information securely if required.