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Welcome Future Shape Shifter
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12
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
Instagram
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4
Birthdate
-
Date
Month
Day
Year
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5
Height
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6
Weight
in pounds
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7
Activity Level
Please Select
Sedentary ( office job )
Light Exercise ( 1-2 days/week )
Moderate Exercise ( 3-5 days/week )
Heavy Exercise ( 6-7 days/week )
Please Select
Please Select
Sedentary ( office job )
Light Exercise ( 1-2 days/week )
Moderate Exercise ( 3-5 days/week )
Heavy Exercise ( 6-7 days/week )
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8
What goals are you looking to achieve in this program and why?
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9
What are some behaviors, obstacles, or activities that could slow your progress in reaching your fitness goals?
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10
What could hinder you from starting your fitness journey with SSF today?
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11
This program requires you to track your macros & weigh your food.
Please Select
I'm READY to learn how to track macros and weigh my food for my goals.
I'm NOT READY to take time to weigh my food and track my macros.
Please Select
Please Select
I'm READY to learn how to track macros and weigh my food for my goals.
I'm NOT READY to take time to weigh my food and track my macros.
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12
Are you able to invest time & money into reaching your goals right now?
YES ! I'm ready to change now !
I need to assess my schedule and/or budget.
Investing in my health is NOT my top priority.
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