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Email *
Country *
Full Name *
Phone Number *
What is your age? *
Do you have any previous injuries? If so what is it? *
Do you have any medical conditions? If so what are they? (Example-Asthma) *
Do you take any supplements? *
Height? *
Weight? *
What is your current goal? (Outside of the gym) *
Current Goals? *
Required
When it comes to exercise would you consider yourself: *
Goal Weight?  *
On a scale of 1-10, how serious are you to obtaining these goals? *
How often do you Exercise now? *
What Social Platform did you find me on?  *
What do you do for a living? (Work)
A copy of your responses will be emailed to the address you provided.
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