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Phone Number
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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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