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First Name
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Last Name
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Email
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Phone
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Age
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31-39
40-55
56-65
Other
What compelled you to reach out to us?
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A friend told me how awesome you are
A social media post/ad
Online Search
I heard you on a podcast/TV/Radio
Other
What's the big goal? If we're sitting here 12 months from now looking back on our time working together, what would have to have happened over that period of time for you to be absolutely THRILLED with your progress?
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What types of things have you tried to solve this problem in the past? Be as detailed as possible. We want to know everything you've tried so we can make sure you never have to add to that list again 🙂
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Personal Trainer
24-Hour Gym/Bootcamp Classes
At-Home DVD's and DIY Workouts
Diets/Supplement Programs
I can't remember the last time I did ANYTHING!!!
What has stopped you from solving this yourself? What are the roadblocks that have kept you from hitting that goal after all this time? (Check all that apply)
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Making Time in my Weekly Schedule
Lack of expert Coaching and Guidance specifically tailored to my needs
Finding a Proper Training Program for my Needs
Lack of Energy
Inconsistency with my Nutrition and Eating Habits
Not feeling comfortable in a fitness setting
All the Above
Does your spouse or significant other support you? (i.e. will they give you a thumbs up on whatever you decide?)
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Yes
No
N/A
With your schedule, what is the most ideal time for you to exercise? Check All That Apply
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Early Morning (before 8am)
Mid-Morning (8:30am-Noon)
Late Afternoon/Evening (after 4pm)
My schedule is rather flexible
Tell Us More About You and Your Goals. How Can We Help You?
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