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Pre-Qualification Questionnaire
Name
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Email
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What is holding you back from achieving your dream weight?
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When was the last time you were happy with your body?
What is your end goal by working with a professional in health and fitness?
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In general, would you say your health is:
Your Goals and Priorities. Please rate in terms of importance: Lose weight 1-10?
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Look and feel better? 1-10
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Additional Questions and/or Comments
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Thank you! Please book a call here >> https://calendly.com/lizdelima
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