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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
Area Code
Phone Number
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4
What would you like me to help you achieve?
Sustainable fat loss
Gain muscle mass
Improve strength
Tone
Improve endurance
Sports performance
Other
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5
What are your short, medium and long term goals?
Short 1 - 3 months Medium 4 - 6 months Long 6 months +
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6
What type of training do you enjoy the most?
Bodyweight
Resistance Training (Dumbbell, Barbell, Kettlebell, Machines etc)
Cardio
Powerlifting
Other
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7
How many times are you able to train per week?
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3
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7
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4
5
6
7
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8
What is your current relationship with food like?
I really need help with nutrition
I find nutrition hard to stick to
I find nutrition confusing
I don't need any help with nutrition
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