Welcome

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Area Code

Phone Number

4

Build Muscle

Lose Body Fat (Weight Loss)

Build Better Cardio

Reduce Stress

5

What is Your Career/Occupation?

7

What is your current Weight?

8

What is your current Height?

9

What Programs have you tried in the past and why didn't it work?

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How did you hear about Mannys Fitness Program?

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Are you currently following a certain diet?

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What fitness level do you consider yourself to be?1 = Very Low | 2 = Low | 3 = Med | 4 = High | 5 = Athlete

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What would you expect from me as your coach if we were to work together?

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What results would define success for yourself?

15

YOU'RE ALL SET! Annotate below anything else you would like me to know before we start.