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What is holding you back from achieving your dream weight?
When was the last time you were happy with your body?
I am very happy with it now
A few months ago
1-5 years ago
5+ years ago
What is your end goal by working with a professional in health and fitness?
In general, would you say your health is:
Your Goals and Priorities. Please rate in terms of importance: Lose weight 1-10?
Look and feel better? 1-10
Additional Questions and/or Comments
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