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Please answer the following questions realistically. Your answers to the questions below are essential in order for me to design the right training program for you. Although this form may seem long, most questions are optional.

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Personal Demographic Information
First Name: *
Last Name: *
What is your gender? *
What is your age? *
What is your height? *
NOTE:  Please indicate in INCHES
What is your bodyweight? *
NOTE:  Please indicate in POUNDS
Personal Contact Information
What is your occupation?
Preferred Contact Email: *
Gmail account recommended to easily share your workout program via Google Drive.
Primary Phone Number:
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