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First Name:

Last Name:

Email:

Phone:

How often do you currently exercise:

Rarely or never

1-2 times per week

3-4 times per week

5+ times per week

What would you like to achieve on your fitness journey:

Have you worked with a personal trainer before:

What stopped you from staying consistent with you fitness goals in the past:

Lack of time

Not seeing results

How confident are you in your understanding of nutrition and its role in achieving your fitness goals:

Would you prefer online or in-person training:

Online training

In-person training

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