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First name
Last name
Your email*
Age*
Height
Weight
What fitness goals would you like help with?
Weight-loss
Toning
General Fitness
Getting Stronger
Sports Training
Any additional thoughts to share about your goals?
List relevent surgeries or injuries you've had.*
Are there any other conditions or limitations we should be aware of?*
What days of the week and times of the day work best for you to meet with your trainer for approx. 30 min?*
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New Client Intake Questionnaire