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Platinum Training Program Form 
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What is your full name? *
What is your age? *
What is your gender? *
What is your address? *
What is your T-shirt size? *
What is your phone number?  *
What is your email address? *
What do you do for a living? *
Do you plan on working out at home or at a gym? *
How many days per week do you plan on working out? *
What are some days/times you are available to train? *
Do you have any pain, injuries, or past surgeries?  *
Do you have any medical conditions?  *
What are your main areas of focus?  *
Required
What are your short term goals from exercising? (3-6 months)  *
What are your long term goals from exercising? (6 months-1 year) *
Have you ever worked with a personal trainer before?  *
What are you looking for in a program? *
Do you have experience with exercising? If so what exercises are you comfortable performing? *
Are there any other important things you think we should be aware of? *
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