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20
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1
Name
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First Name
Last Name
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2
Date of Birth
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Date
Year
Month
Day
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3
Height (cm)
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4
Weight (Kg)
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5
Occupation?
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6
What does your weekly schedule look like?
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Early/Late/Night shifts, Days Off
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7
What is your main goal?
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8
Why is this goal important to you?
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9
What have you tried before?
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10
What has stopped you in the past?
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11
How often do you currently train?
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12
What type of training do you prefer?
Gym / Home / Outdoors / Mixture
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13
Any injuries or limitations?
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14
Exercises you love and exercises you hate?
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15
Describe your current eating habits
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16
Any dietary requirements?
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17
Do you want a strict plan or flexible guidance?
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18
How do you want me to hold you accountable?
Gentle, firm or In-Between
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19
Anything else I should know to coach you properly?
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20
Anything else I should know or that you want to comment on?
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