1:1 COACHING
This questionnaire should take you 6-7 minutes to complete. Answer each question to the best of your ability. 

AFTER SUBMITTING: 
I will go through your application and you should be getting a call from me within the next 48 hours! 

 Thank you for choosing me to help you guide you through your journey. 

-The Energy Box 

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Name: 
Phone Number: 
Email 
What are some target areas you would like to focus on? 
Rate your personal fitness level from a scale of 1-10
Being sedentary
Highly Active
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Do you have previous experience with Personal Training? 
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Any medical injuries that I should know about? 
What are activities or exercises that you enjoy? 
What are activities or exercises you prefer to avoid? 
How many days out of the week are you willing to commit to train? 
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Describe your current eating habits. 
Do you have any dietary restrictions? 
What motivated you to make this decision? 
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