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Age

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HEIGHT

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GENDER

Male
Female

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ft    

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in    

WEIGHT

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lbs    

WHAT ARE YOUR NUTRITIONAL GOALS?

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Are you willing to invest in your transformation?

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What are your fitness goals?​

Appearance (aesthetics)
Cardiovascular endurance -Competition Prep
Flexibility
Health (General)
Muscular definition
Muscular size
Muscular strength/power
Self-esteem or confidence
Speed
Sports performance
Stress reduction
Toning and shaping
Weight loss
Posture

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OTHER FITNESS GOALS 

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DO YOU EXERCISE REGULARLY?

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RATE YOUR OVERALL ACTIVITY LEVEL

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Rate your ability to perform cardio exercises

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Rate your experience with exercise

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What EQUIPMENT DO YOU HAVE ACCESS TO?​

Free weights (dumbbell/barbells)
Gym machines (Nautilus, Precor, Cybex, etc... )
Cable weights
Resistance bands
Bosu balls
Kettlebells
TRX bands
Bowflex

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ON WHICH DAYS ARE YOU AVAILABLE TO WORK OUT?​

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

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how frequently do you have time to exercise?

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DO YOU SMOKE TOBBACO PRODUCTS?

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HOW SERIOUS ARE YOU ABOUT ACHIEVING YOUR GOALS?

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Any other comments about what you would like to see in your transformation plan??

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Name

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Email

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