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9
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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
How often do you currently work out?
Rarely/A few times per year
Occasionally/A few times per month
Moderately/A few times per week
Frequently/5-7 times per week
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5
What are your current fitness goals?
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6
What type of equipment do you have access to?
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7
When it comes to food & nutrition, what do you find that you struggle with the most?
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8
How willing and open are you to make the necessary lifestyle changes in efforts to accomplish your goals?
I’m ready to commit!
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I’m unable to commit
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9
Are you able to commit financially towards investing in yourself and this coaching program?
Yes!!!!
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I’m unable to commit right now
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