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22
Questions
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
What's your gender?
Male
Female
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5
What is your current goal?
Lose Fat
Build Muscle
Improve fitness
Improve your general health & wellness
Look Better (Aesthetics)
Improve strength
Improve focus & productivity
Improve headspace & Mindset
Look better
Flexibility
Improve Confidence and Self Esteem
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6
What best describes your situation right now?
I need accountability and guidance
I don't know where to start
I've started but hit a plateau
l know what to do but it's taking to long
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7
Other fitness goals (if not selected above)
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8
Rate your Fitness now
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2
3
4
5
None
I'm a Beast
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9
Rate your Workout Experience
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2
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5
None
I'm a Beast
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10
What do you have access to?
Free weights (dumbbell/barbells)
Kettlebells
Gym Resistance machines
Cable weights
Resistance bands
TRX
Gym Cardio Machines
None
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11
What has stopped you achieving this so far?
Lack of knowledge
Lack of Time
lack of Accountability
Lack of Motivation
Lack of Commitment
All the Above
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12
Tell me in detail what you would like to achieve in the next 6 - 12 months (mindset, bodyweight, habits etc)
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13
Other than improving your body shape what other aspects of value would you like to add to your life such as improving your relationship, improving your confidence, better sex life and mental health etc?
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14
Are you willing to invest financially in yourself and your health?
YES
NO
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15
Have you ever had a PT or coach before?
YES
NO
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16
What have been your biggest struggles in reaching your goal so far?
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17
How supportive are those closest to you?
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18
Is there anything I should know before we begin? (Injuries, Niggles, Upcoming events or anything that may interfere with your progress)
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19
What would achieving your goal mean to you?
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20
How motivated are you to achieving this right now?
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5
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7
8
9
10
Don't care
Let's go!
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21
If not a 10 why not?
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22
How would you feel if you didn't achieve it?
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