Congratulations on choosing a healthier lifestyle!
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First Name
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Last Name
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Phone
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Email
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Age
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Promo Code (optional)
Any vacations or work trips coming up in the next 6 weeks?
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Yes
No
IF YES, when and how long?
What are your most important fitness goals?
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Weight loss
Muscle gain
Increase energy
Increase strength
Boost confidence
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Why is it important for you to reach your goals?
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What has been the biggest struggle?
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Not Enough Time
Don't know where to start
Staying Consistent
Finding a good coach
Finding Something I enjoy
Lack of Motivation
What’s your activity level at work?
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Full time job, always moving
Full time job, sedentary
Part time, some movement
I don't have a job
Is there anyone else involved in this decision to create a healthier lifestyle?
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Yes
No
Are you willing to invest financially to reach your goals?
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Yes
No
Anything else we should know?
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