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* 1. Please Enter Your Contact Info:

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* 2. What is your gender?

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* 3. What is your age?

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* 4. What are your health and fitness goals?

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* 5. If your goal is weight loss, how much weight do you want to lose?

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* 6. Are you doing anything right now to achieve your goal? If so, what?

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* 7. How long have you been trying to reach this goal?

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* 8. Do you have a certain time frame you're looking to accomplish this goal?

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* 9. How many days per week do you exercise?

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* 10. Do you prefer to workout in the morning, afternoon or evening?

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* 11. Are you currently following a diet or nutrition plan? If so, what?

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* 12. Do your family and friends support your goals?

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* 13. What is your biggest challenge in achieving your goal?

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* 14. On a scale of 1-10, how committed are you to reaching your goal?

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 15. What would your life look like, or what would be different, if you reached your goals?

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* 16. What is your monthly personal training budget?

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* 17. Do you currently work with a personal trainer?

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* 18. Do you have any injuries or medical issues? If yes, please explain:

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* 19. What are you looking to accomplish with the VIP Personal Training calls?

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* 20. What is the best time and contact number to reach you regarding your application?

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* 21. By checking this box, I agree to Warrior Made's Terms of Service

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