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Questionnaire
Please fill out all of the following questions:
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Name *
Gender *
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Phone number *
Email *
Age *
Height *
Date of birth *
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Emergency contact name and number
How did you hear about J.Simpson Fitness? *
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What is your goal weight *
What are your fitness goals? *
How many days a week have you been exercising in the last 6 months? *
What weekdays and times are you available to workout? *
Are there any events or activities coming up that are motivating you to start your fitness journey with us? *
How confident do you feel about your current nutritional choices? 1-poor 10-great *
When was the last time you felt happy with how your body looked and felt? *
What would being comfortable in your own skin look and feel like to you? *
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