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1
What do you want to improve?
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Fitness
Golf
Performance
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2
What Problem to Solve? (Golf)
Make more Putts
Hit Longer Drives
More Consistency
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3
What Problem to Solve (Fitness)
Fat Loss
Build Muscle and Strength
Move Better and Reduce Injury
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4
What Problem to Solve (Sport)
Speed
Rehab
Power
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5
Which of the following describes why you need help with Fat Loss?
Select all that apply!
Not getting results from current program
Struggling with nutrition
Stress and busy schedule
Recovering from injury/life event
No accountability/hard to stay consistent
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6
Strength and Muscle Building Problems
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Can't gain muscle/weight
Always sore but not getting results from current program
Want to be stronger but stay lean as possible
Bored with current program/lack of progress
Get hurt/recovering from injury but still want to gain size and strength
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7
Which of the following best describe your issues?
Select all that apply!
Low Back
Shoulders
Hips
Knees
Post-Surgery
Feel stiff/tight
Limited Flexibility
Balance/Lack of Stability
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8
Which of the following describe your putting issues?
Check all that apply!
Don't know what type to use
Speed Control
Reading Greens
Trouble starting putts on line
Short Putts
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9
Which of the following describe your distance issue?
Select all that apply!
Losing Swing Speed
Ball Flight too high/spinny
Inconsistent/Hit Irons much farther than driver
Don't hit it high enough
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10
Which part of your game needs more consistency?
Select all that apply!
Wedge Game
Swing isn't consistent
Inconsistent direction/shot shape
too many "big misses"
"Blow-up" holes ruin round
Lose focus/stamina
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11
What part of your speed needs improvement?
Choose all that apply!
Struggle with change of direction
Not enough "top end" speed
Slow Acceleration
Not sure about technique/form
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12
What best describes your situation?
Choose all that apply!
I have been hurt in past and still struggle
Might need surgery but want to avoid
Had an injury that was rehabbed but not ready to return to sport
Currently rehabbing but want to keep training during the process
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13
Which applies to you?
Choose all that apply!
Want more explosive start/stops
Throw/Swing Harder
Want to jump higher
More explosive strength for contact sports
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14
Email
example@example.com
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15
Phone Number
Area Code
Phone Number
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