Application for The Online Better You Pathway

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* 1. Full Name

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* 2. Date Of Birth

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* 3. Mobile Number

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* 4. Email :

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* 5. Are you currently exercising? If so, what does a typical week of exercise looks like for you?

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* 6. What would you like to do which you are currently unable to do?

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* 7. What is your #1 Biggest Struggle or Obstacle?

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* 8. How is this problem affecting you?

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* 9. What are you hoping to achieve?

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* 10. If you could sit down and ask me any question, what would it be?