Perseverance Training and Wellness Questionnaire 
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Best email address or phone to reach you? *
Full Name
Age
Weight 

What are your goals?

*

How many workouts per week do you feel you can regularly accomplish?

*

How long do you want your workouts to be?

*
Do you have any physical limitations? *
What exercises do you really enjoy? *
What exercises do you hate? *
What equipment, as specifically as possible, do you have available to you? *

Of that equipment, are there any pieces you like the most? 

*
Do you have a timeline/are preparing for anything? *
Are you interested in nutrition guidance?
Are you interested in a monthly 1-on-1? *
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