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PERSONAL DETAILS
Full Name
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Email
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Phone
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What's your age?
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Age
Occupation
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What's your instagram handle/username?
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HEALTH / FITNESS EVALUATION
What's your #1 health & fitness goal this year?
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What do you feel is your biggest challenge when it comes to achieving those goals?
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I am happy with my current health, fitness and body
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Your rating (1-5)
I have a good knowledge on nutrition and follow a flexible nutritional strategy tailored to my body and goals
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Your rating (1-5)
I feel comfortable in my clothes and I’m proud of what I see in the mirror
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Your rating (1-5)
Are you open to investing mentally, financially and time wise into your heath and fitness goals?
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