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* 1. What is your first and last name?

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* 2. Age

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* 3. Phone Number & email address

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* 4. Height and Weight

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* 5. What are your current health and fitness goal(s)? Please be specific

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* 6. What supplements or medications are you currently taking? Do you have any injuries current or past? 

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* 7. What is your current exercise routine (how many times a week, cardio, resistance training, group classes, etc?)

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* 8. What is your current daily diet? Are you familiar with macros? If so, please share with me your current macros daily (grams for protein, carbs, and fats?) Please be specific (what foods, when, amounts, etc.)

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* 9. How much time do you have for cooking per week? Do you enjoy cooking?

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* 10. On a scale of 1-10 (1 being the lowest, 10 the highest) how committed are you in putting in the time and focus needed to achieve your goals? Do you believe that transforming your physique is possible? (Y/N. if No, Why?)

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