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Name

Email

Why are you looking for a coach?

What is your main goal / what do you need help with? (ex. Weight loss, build muscle, overall health)

What has prevented you from achieving your goals?

How would you rate your exercise experience? *

Beginner

Intermediate

Advanced

Do you have a gym membership? *

Yes

No

If not, what equipment do you have access to?

Barbells

Dumbbells/ kettlebells

Resistance bands

Cardio equipment (treadmill

Nothing

Comments/Questions

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