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13
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1
Are you ready for FL - 4 weeks to fit.
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NO
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2
Name
First Name
Last Name
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3
Phone Number
Area Code
Phone Number
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4
How old are you
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5
Gender
Male
Female
Other
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6
Current level of fitness
How fit are you already?
Severely unfit
Unfit
Part time exerciser
Cardio fit
Fit and strong
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7
Current Diet
How well are you currently eating
very poor
Below average
Average
Above average
Excellent nutrition
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8
Nutrition type
What diet do you work best with
Vegan
Vegatarian
any diet
Meat only
Other alternative
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9
What is your goal
Choose how you want to progress
Weight Loss and toning up
Improved strength
Improved fitness
Putting on weight
Any additional goals
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10
Injury or health history
Do you have any conditions I need to know about
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NO
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11
If yes specify below
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12
Please advise on any other relevant information below
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13
Ready to start?
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