The Strength & Shred Crew
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Date of birth
-
Month
-
Day
Year
Date
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What’s your current physique goals?
Fat loss
Muscle gain
Tone up
Gain strength
Get fitter
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What’s your current barriers to these goals?
Time
Motivation
Confidence
Knowledge
Work
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What does success look like to you?
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Have you ever thought about coaching before or had a coach previous?
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How many steps on average do you do per day?
1-3k
3-6k
6-9k
10k+
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How many times a week do you currently attend the gym?
0
1-2
3-4
5+
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Do you have any questions?
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Submit
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