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Full Name

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* 1. Full Name

Contact Number

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* 2. Contact Number

Email address

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* 3. Email address

Are you seeing results on your current program? 

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* 4. Are you seeing results on your current program? 

What services are you most interested in? 

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* 5. What services are you most interested in? 

Are you familiar with flexible dieting and tracking your macros?

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* 6. Are you familiar with flexible dieting and tracking your macros?

Have you worked with a Personal Trainer before?

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* 7. Have you worked with a Personal Trainer before?

What are your main goals when it comes to starting an exercise/nutrition program?

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* 8. What are your main goals when it comes to starting an exercise/nutrition program?

Describe your past and current exercise regimen: (cardio, resistance training, other, X per week/min)

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* 9. Describe your past and current exercise regimen: (cardio, resistance training, other, X per week/min)

Describe your current nutrition regimen: (calories/macros, what your meals look like, meal frequency, etc.)

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* 10. Describe your current nutrition regimen: (calories/macros, what your meals look like, meal frequency, etc.)

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