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First & Last Name
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Name you prefer to go by?
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What are your preferred pronouns?
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Age
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Height
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How many hours of sleep do you get on average?
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Please rate your quality of sleep
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Great
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What are some of your long term goals?
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What are your short term goals?
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Are you currently exercising or on a training plan?
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If you have any diagnosed health problems, please list them here.
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Please list any current medications here.
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Do you have any current injuries?
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No
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How would you describe your average daily activity?
Office - Sitting all day
Teacher/Cashier - Standing but not much activity
Waitress/Waiter/Retail - Walking all day
Construction/Warehouse - Heavy Lifting/High Activity
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What do you do for a living?
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Socially describe your week/weekends
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What is your preferred eating style?
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Vegetarian
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Keto
Paleo
Other:
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What is your favorite food or types of foods!?
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Please list any equipment you have or will have access to (Bands, Dumbbells, Pull-up bar, or if you plan on using a local gym)
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Best way to reach you? Please add email and/or phone number and preferred method (text or call)
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And lastly, is there anything else you would like to share with me before moving forward?
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