LEG UP Personal Training Client Application
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Email *
Name *
Age *
Phone number *
What is your occupation? *
Give a brief description about the problem you are having? *
How long have you been dealing with this problem? *
On a scale of 1-5 with 1 being the least important to you and 5 being the most, how important is fixing this problem? *
Do you have equipment at home? If so please describe what you have access to. *
Have you had any previous injuries? If so, please explain. *
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