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Welcome
Hi there, welcome to my habit builder sign up! please fill out and submit this form. Note: this is simply expression of interest/registering your name. no payment is required upon signing up.
8
Questions
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1
Let's start with your name!
Please include both your first and last name :)
First Name
Last Name
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2
How would you prefer me to reach out to you?
please put below your email address, social media handle or phone number for text communication. note: if you put social media and you are on private please accept my request otherwise I am unable to contact you
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3
Which program do you think suits you most?
if you are not sure no stress! we can decide together
home program
gym program
I'm not sure yet
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4
Which training volume option do you think feels most achievable for you?
Note: the 2 workout a week option is 2 workouts in the gym or at home with a 3rd OPTIONAL walk/run at a much shorter scale
2 workouts per week
4 workouts per week
I’m not sure yet
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5
What is your main goal heading into this program?
weightloss
muscle gain
to build strength
to gain fitness
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6
Do you have any relevant injuries/conditions that may affect your ability to complete this program?
YES
NO
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7
Do you require a payment plan?
All payments are taken via automatic direct debit :) full payment is required by June 30th due to maternity leave. You will receive the whole program at once on the 29th, payment plans can be set up if time permits from now until June 30
Yes
No
Not sure yet
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8
Do you have any questions for me when I reach out?
Thats it from me! You will hear from me directly soon :)
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