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13
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1
Email
example@example.com
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2
Name
First Name
Last Name
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3
Age/Date of Birth
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4
What are your current fitness goals? BE SPECIFIC!
Weight loss, build muscle, gain strength, improve performance, aesthetics, general health & wellness
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5
How old are you?
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6
What do you do for a living?
Please include details about what a typical day looks like for you. Desk job, manual labor, SAHM, etc.
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7
Where do you prefer to work out?
At home with minimal equipment
Well equipped home gym
Outdoors with minimal equipment
Commercial gym
Other
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8
What equipment do you currently have access to?
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9
Do you have any injuries (old/new) or current limitations?
Please include any health/medical conditions that should be known by your trainer.
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10
What are your expectations when working 1:1 with me?
Be honest and up front with what you are looking to get out of working together!
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11
Which commitment are you ready to make?
3 Month Program
6 Month Program
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12
Would you like nutrition coaching with your training plan?
YES
NO
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13
Are you willing to invest between $250-$350/month to achieve your goals by working remotely with a coach?
YES
NO
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14
When would you like to start?
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