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* 1. Fitness Level

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* 2. Do you have any injuries or limitations when it comes to physical exercise?

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* 3. If you answered yes to Question 2, please explain history below

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* 4. Please take a moment to go over your lifestyle. Your daily schedule, work, kids, activities etc

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* 5. Please take a moment to explain what roadblocks threatened to stand in your way in January as well as work arounds

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* 6. Why do you want to join this program. Be completely honest. Honest with yourself and honest with your trainer. Answers will not be shared. Don’t be afraid to be vulnerable.

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* 7. This program requires 100% effort. No excuses. Are you willing to fully commit to changing your life in FEB?

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* 8. I acknowledge that there are no refunds or transfers

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* 9. Please verify email address for Invoice, PDF Ebook and more

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* 10. Please provide your first and last name

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