8-Week Body Transformation Challenge
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Name:
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What is your email address?
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Age
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Sex
What are your health and fitness goals?
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What are your dietary goals?
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Do you have any dietary limitations or allergies?
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How experienced are you with exercising?
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How motivated are you to exercise?
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How many days a week are you willing/able to workout?
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What day do you want to start the Challenge?
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What exercise equipment do you have access to? Do you have a gym membership?
If you have none that is okay too!
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Do you have any special events you are training for?
(i.e. half marathon, tennis tournament, etc.)
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Do you have any injuries or medical concerns?
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Do you have any other requests, comments, or concerns?
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In consideration of your participation in this personal training program, you hereby agree to assume all risks of injury or death to yourself. If you have a disease condition and/or fall into certain high health risk categories, you should promptly consult with a physician and obtain his or her approval prior to engaging in any health improvement program or lifestyle change activity. A Stronger Workplace LLC and BodyDesigns Ltd. are not liable for any health consequences resulting from your participation in this program, and it’s entity nor its staff is responsible for enduring that you have consulted with your physician regarding any recommendations you may receive as a result of your participation. By entering your name below serving as an electronic signature you authorize that YOU HEREBY RELEASE A STRONGER WORKPLACE LLC AND BODYDESIGNS LTD. AND ALL OF ITS PERSONNEL AND AGENTS FROM ANY AND ALL DAMAGES AND CLAIMS CAUSED BY OR RESULTING FROM YOUR PARTICIPATION IN THIS PROGRAM . This release shall also be binding up your heirs, executors, and administrators. Please type in first and last name:
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How did you hear about us?
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