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Name
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First
Last
Email
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Mobile Number
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Birthday
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Current Weight
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Current Height
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Your Fitness Goal
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Be as specific as possible!
How Would You Like To Measure Progress?
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Have You Tried To Achieve This Before?
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Yes
No
If Yes, Why Did It Fall Through?
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What Are Going To Be Your Biggest Obstacles?
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How Can We Help You Overcome Them?
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How Can YOU Work To Overcome Them?
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On A Scale of 1-10, How Important Is Reaching Your Fitness Goal?
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1
2
3
4
5
6
7
8
9
10
What Exercise Equipment Do You Have Available To Use?
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List exactly what you have! Also, if you have access to a gym please tell me which gym.
You can upload pics of your equipment here if it's easier
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Max file size: 20MB
If you have a lot of equipment at home, I'd recommend uploading pictures.
What Days & Times Would You Prefer To Exercise?
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What Do You Enjoy Most About Exercise?
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Please Tell Me How You Heard About Me?
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Facebook
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A Friend
Email
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Any questions?
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30 Day Kickstarter