BECOMING HER
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Year
E-mail Address
Mobile Number
-
Area Code
Phone Number
Occupation
Height in Ft/ Inches
Weight in lbs
Which of the following best describes how you CURRENTLY feel?
Lethargic
Energetic
Stressed
In control
Unhealthy
Healthy
Unhappy
Happy
Insecure
Confident
Mentally negative
Mentally positive
Dull/bored
Radiant
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What is your desired outcome from the programme?
Be specific with your goal. Is it education in nutrition? Is it a dress size? Is it a performance/strength goal? Is it a weight loss goal? Is it a lifestyle change? Is it a mindset shift? Is it a confidence goal? Ask yourself what you REALLY want to achieve here.
What have you struggled most with in the past when trying to reach the above goal?
What road blocks have you come across in the past?
Have you got experience in resistance training?
Yes
No
How knowledgable are you with nutrition?
Clueless!
I've counted calories before.
I am confident with macros and calories
How ready are you to make a change?
So ready!!
On the fence.
I'm not ready to commit.
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