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Personal Training & Online Coaching Application
Your interest in working with me is greatly appreciated! 

Just a few questions about you and what you are looking to gain out of this experience! 
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Name: First/Last *
Age:  *
Email:
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Phone Number: *
Preference of contact? 
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Where are you located? (State, Township)  *
Height/Current Weight:  *
What are you seeking to gain out of this experience? (physique, lifestyle, strength, health goals, etc.) *
Are you currently following a training or meal plan?
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Have you ever worked with a coach before?
 If so, how was your experience?
 What did you like/not like?
 *
Do you have any experience in the gym?

 If so, briefly describe your experience/training routine: (ex. how many days you train per week, workout split, etc.) 
 *
Which type of coaching best suits what you're looking for? (select all that apply)  *
Required
Any medical conditions (injuries, surgeries, medications, health issues) you may feel alter exercise or that I should know about?  *
What would you say is your biggest struggle currently?  *
Anything else you would like me to know before our consultation?  *
If we decide we are a good fit during your consultation, are you ready to commit? *
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