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Name
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First Name
Last Name
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2
Mobile Number
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Area Code
Phone Number
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3
What would you like to achieve during our sessions?
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Get stronger
Improve Cardio Health
Lose body fat
All of the above
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4
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What is currently stopping you achieving your goals?
Lack of motivation
Lack of knowledge
Lack of consistency
Lack of time
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5
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How ready are you to commit to making a change?
Very
So ready
Fairly
Don’t know
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6
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What sort of training interests you the most?
High energy
Kickboxing
Weight Training
A combination of them all
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7
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How many times a week would you like to train?
One
Two
Three
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8
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Do you have any injuries or conditions that I need to know about?
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Fight Sanctuary PT
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