Full Name
Date of birth
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Email
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Instagram Handle
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Phone Number
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What is your current occupation and does it require much movement?
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What best describes how many hours you're working per week?
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Full time college student - I don't work part time
Flexible part-time 15-20hrs per week
Full time 40-50hr per week
Overworked 50+ hours per week
Unemployed (not currently working any hours per week)
How did you hear about us?
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How Long Have You Been Following Us?
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What's happening in your life right now that has you potentially considering improving your health and fitness? And ultimately, what is your goal? (Please be as detailed as possible)
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Current Weight (in Kg)
Have you any prior gym experience? (Please state how long if applicable)
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If you feel this program is a good fit to help you achieve your goals, are you prepared to invest in yourself during the call to get the support you need?
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Does anybody else need to accompany you on our call who you'd need to consult with prior to potentially starting? (e.g. husband/wife/partner/parent etc.) If so, please schedule a time when the 3 of us can talk collaboratively to see if this is a good fit?
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If this were a good fit, when would you possibly hope to start?
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I accept that I will show up for the zoom call on time & give at least 24 hours notice if I need to cancel or reschedule.
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Yes, I accept
No, I do not