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Email *
Birthday *
What are your fitness goals? *
How many days per week do you typically train?
What are your expectations when seeking out a trainer? *
Any current or past injuries or medical concerns? *
How did you hear about me? *
On a scale of 1-5 how committed to your goals are you? *
On a scale of 1-5 how would you rate your current nutrition? *
On a scale of 1-5 how stressed do you feel on the average day? *
On a scale of 1-5 how would you rate your average recovery? *
Preferred Day/Time for a Complimentary Video Consultation? *
Any additional information you'd like me to know that I forgot to ask? *
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