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14
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1
Name
First Name
Last Name
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2
Coaching presentation
In person
Online
Nutrition only coaching
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3
FITNESS GOAL?
Fat Loss
Muscle/Strength Gain
Motivation
Accountability
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4
AVERAGE DAILY STEPS?
8000 or less
10,000 steps
12,000 steps
15,000+ steps
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5
HOW MUCH DO YOU WEIGH? (KG)
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6
GENDER?
MALE
FEMALE
OTHER
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7
What’s your height?
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8
AGE?
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9
WHAT IS YOUR EMAIL?
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10
RATE YOUR TRAINING EXPERIENCE OUT OF 10
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11
HAVE YOU FOLLOWED A TRAINING PLAN BEFORE?
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12
INSTAGRAM ACCOUNT NAME?
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13
DESCRIBE YOUR CURRENT DIET, TRAINING IF ANY
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14
ARE YOU READY TO START NOW?
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