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1
Name
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First Name
Last Name
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2
Previous Training History
Have you worked with a trainer/programming before? If so, what?
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3
Do you currently have a gym membership?
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NO
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4
Do you work out at home?
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NO
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5
What do you own for home equipment?
If workouts are in the gym skip to next question
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6
Do you have a history of surgery, injury, or illness that would impact exercise?
If so, what?
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7
How motivated are you to reach your goals?
There is no wrong answer ☺︎︎
No motivation, I’m a couch potato
Little to some motivation
Moderate motivation
Highly motivated
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8
How many days a week do you hope to exercise?
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9
How long are your typical workouts?
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10
What is 1 goal you have?
Doesn’t have to be specific!
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11
Email
example@example.com
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