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* 1. What is your full name?

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* 2. What is your age?

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* 3. Are you willing and able to commit to 3x BBM From the Couch Training Sessions per week over the next 6 weeks? (Monday, Wednesday and Friday 11:00am to 11:30am)

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* 4. Current Physical Activity - How Many times per week do you exercise?

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* 5. Have you had/do you have any of the following conditions

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* 6. Have you had any major surgery or have been hospitalised in the last 12 months 

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* 7. Do you have any pre-existing injuries or health conditions that may affect your ability to participate in this program?

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* 8. Will you be able to commit yourself to the nutrition guidelines? I.E No takeaways, no alcohol etc 

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* 9. What will you do to ensure you stay consistent throughout this 6 week programme?

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* 10. Do you agree to being filmed and/or photographed for the purpose of promoting and inspiring others to join our Free BBM programmes?

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