Health & Fitness Needs Assessment
Let me help you build a solution that works for you!
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Email *
First and Last name *
How did you find this assessment? *
Where are you currently at with your fitness and nutrition?
What are your health goals?
What are your biggest struggles?
What are you exercise needs?
Are there any specific needs you need to design your solution around?
How do you feel about supplements?
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Do you have an accountability partner or support system? If so, who?
What kind of budget range are you working with?
How would you like to receive your assessment results?
Where should I contact you for the assessment results? (Include handle if applicable)
Do you want to be added to my email community receive healthy tips, recipes and stories that I think will add value to your journey? (No spam! Just genuine information.)
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