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9
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
Social Media Handle (Name on Facebook or Instagram)
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5
Age
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6
How would you describe your current fitness level?
Completely out of shape
Decent, could use some fine tuning
Great, just want to see how much further I can go!
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7
What are your main fitness goals?
Lose fat
Build muscle
More energy
Less pain
Be an example for my family
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8
On a scale of 1 - 10, how ready are you to make the changes necessary to reach that goal?
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9
Have you ever worked with a coach before?
YES
NO
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