Application

Transform Your Body With Mr. America Jason Kozma

This form is to determine your eligibility for a phone appointment to apply to my VIP Private Coaching Program.  It is very intensive and requires significant investment and is not for everyone.

For those looking for a lesser investment choose the Workout and Nutritional Plans option under the Online Personal Training heading.

“I tell all clients that I am the “last person you will ever pay” for fitness advice again, because it’s true. The goal here is to make a forever plan, because after all, if you are fit for a month or a year, who cares? It’s about LIFE. And about being able to soak up life while being fit.

As such, I am NOT the cheapest, but I will solve your problem for good. You will NOT need me at the end of this program, so consider this a ONE TIME investment. In fact, if you still NEED me, I failed you.

Yes, It’s a long application form. But if you can’t be bothered to spend the time to fill it out it’s an early indicator to us that you’re not a good fit for the program”

  • What is your goal?
    Ex:
    ...Lose 50 Lbs
    ...Tone up
    ...Get to 10% Bodyfat
    ...Be Healthy for my kids
    ...Overcome Anxiety/Depression

  • What have you tried in the past?

  • What stopped you from achieving your goal AND/OR sustaining it?
    Ex:
    Sustainability of the plan...
    Need Accountability...
    Don't Know What To Do...
    Plateaued Then Gave Up...

  • Is your spouse supportive of your health goals?

  • Are you willing to invest financially to reach your goals?
    If you came through a promotional offer, then this would mean other things like buying different food or supplements to support that goal (Yes or No)

  • If accepted, how soon are you looking to get started?
    If you are not ready, please wait and only schedule when you are.
    We expect individuals that are ready to get started.

  • 1) I am a person who keeps my commitments and will show up on time to an appointment, including a phone appointment.
    2) I realize that that Jason is in fact a "real person" with a family, other clients and a life of his own whom also values his time.
    3) I acknowledge that he is not training paid clients in order to speak with or meet me. He is giving his time freely in order to help me, and I will honor his time as he is honoring mine by being on time.

  • 1) I will respond to the text when he reaches out.
    2) I will confirm the appointment via text by responding "yes" or "no" that I will answer / show up.

  • If you are in the LA area, you can be eligible for an in person application appointment in lieu of the phone call. Just say so when you reply to my text to schedule the call.
  • This field is for validation purposes and should be left unchanged.
Jason’s a really great trainer. I do the virtual personal training program because I know form, I just don’t have the knowledge to build my own plan. Jason’s always been very responsive whenever I have questions. He doesn’t give you a cookie-cutter plan; I have a few physical limitations and my gym doesn’t have the widest variety of equipment and he was very understanding and helped find the right exercise substitutions. I found the diet plan really helpful because it’s flexible enough where I can try different foods, but specific enough about how much and when to eat so I actually see results. Be clear with your goals and stick to what he says and you’ll definitely be happy with where you are in just a few months.
Rory Fitzpatrick
Rory Fitzpatrick
2021-11-14
Highly recommended his personal training session for body building
Lucy Hale
Lucy Hale
2021-10-21
Highly recommended. Responded quickly, worked around my schedule, and provided exceptional service.
Edward Angwin
Edward Angwin
2021-07-29
If you’re looking for rapid transformation success Jason Kozma is the best personal trainer available! Very happy with the guidance, accountability, and humor he provided during our training time together. He genuinely cares about getting his clients the best results possible. If you are not in the LA area he also has an excellent online personal training program. Highly recommend.
Darren Maroni
Darren Maroni
2021-07-19
I live in Chicago so I used Jason's online personal training. It was a great experience especially for the price. He would monitor my workouts each week and let me know if I should be able to go heavier on an exercise based on everything else I was doing. He'd also review my recorded diet and tell me where to tweak things. He was also good about reminding me to update my weight and progress pics, and he'd adjust the workouts or diet based on that. He was honest about how much weight/muscle I should expect to gain and didn't try to make huge promises just to get business.
Eric Seelbach
Eric Seelbach
2021-07-01
So happy to find jason! He connected me with an incredible trainer and provided me with nutrition and support to achieve my goals!
Jasmine Jackson
Jasmine Jackson
2021-06-29
Jason is awesome, very communicative and reliable, and he paired me with Jerry, who is not only a great trainer, but also a fantastic person overall. Great training and great results!
Masha S
Masha S
2021-05-23
Jason is the best personal trainer. He knows exactly how to increase muscle and strength. I’ve built up muscle so rapidly due to his program. He truly keeps you motivated and continuously pushes you to give all your absolute effort. I highly recommend!
Nathan Akhtarzad
Nathan Akhtarzad
2021-05-14
Skip to content