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Client Questionnaire
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As a certified personal trainer my main goal is to help you achieve your health goals.
All questions are to help me better assess in what ways I can help you & will help create a solid routine for future sessions. For 1 on 1 on site personal training please keep in mind that my gym is located in Elizabeth New Jersey. 
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Email *
First and Last Name *
Which service are you interested in? *
Required
How many hours of sleep do you get per day? *
Your current diet could be best characterized as: *
Required
How fit are you ? *
Least
Most
What is your short term goal? *
What is your long term goal? *
Why have you chosen to become dedicated to your goals? *
What do you do for a living? *
How often do you workout? *
Do you have access to a gym or do you prefer home workouts? *
What style training do you prefer? *
Do you have any medical condition, surgeries, and/or injuries?
What is your Instagram handle and/or your phone number? *
A copy of your responses will be emailed to the address you provided.
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