Personal Trainer request form

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Name:

First Name:Last Name:
E-mail:
Instagram Username:
What are you wanting to gain from training?*

Cardiovascular EnduranceWeight LoseBuilding MuscleStructure
What has been stopping you from committing?*

Little MotivationDon't Know Where To StartCan't Stay ConsistentTime Management
How do you feel about advancing your training?*

Ready To Start Right Now - Just Need The LeadershipCommitted To Start, But Want To Make Sure Its The Right FitNot Sure I'm Ready
Are you financially capable to invest in top-tier training?*

YesYes, If There Is A Payment PlanNo
Is there anything that would stop you from working with me, if accepted?
Should be Empty:

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