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Consultation Form
Coaching application 
Email *
Age , weight , height. *
Name  *
Email  *
WhatsApp number *
What is your main goal right now  *
What would you like to achieve in the next 3-6 months?  *
Do you train in Gym/Home  *
What equipment do you have for home workouts 
( for home plans ) 
 *
How active are you right now ? 
( not training / 1-2 / 3-4 / 5 + ) 
 *
When would you feel the most hungry during the day ? *
What would you struggle with most when it comes to diet and training ? *
Are you currently taking any prescription meds , supplements or vitamins  *
Do you have previous training experience if so please state below  ? *
Do you have any medical conditions i need to know about  ? *
Do you have any current injuries   ? *
Effort = Reward. How many days can you train ? 

 *
Do you track your steps , if so what is your average daily steps ? *
What are your top 3 main goals for your training and nutrition plan  ? *
What if any has prevented you from reaching your goals in the past  *
A copy of your responses will be emailed to .
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