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Client Form

Your Information

Your Full Name *
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Your Country
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Your Email Address *
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Your Age *
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Your Phone Number *
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Gender *
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Your Body

Your Height *
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Waist Measurement
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Desired Goal *
Please select your target for personal training.
  • - select a option
  • Fat Loss
  • Toning
  • Abdominal Routine
  • Muscle Mass Gain
  • Strength Training
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Your Weight *
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Hip Measurements
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Chose your body type *
Unsure of your body type? Click here.
  • - select a option
  • Ectomorphic
  • Endomorphic
  • Mesomorphic
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Body Fat Percentage
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Desired Weight
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Helpful Information

On which muscle groups would you like to emphasize? *
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Have you trained before? *
This can be on your own or with a PT
  • - select a option
  • Yes
  • No
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How Long For?
Days? Months? Years?
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Describe the training programme you have used
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Have you ever played any sports? *
  • - select a option
  • Yes
  • No
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How much time a day can you spend on training? *
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What Kind?
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What time of day is most convenient for you to train? *
  • - select a option
  • Morning
  • Midday/Noon
  • Afternoon
  • Evening
  • Night
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How many times per week will you be able to train? *
  • - select a option
  • 1 Day
  • 2 Days
  • 3 Days
  • 4 Days
  • 5 Days
  • 6 Days
  • 7 Days
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Do you have any injuries or illnesses? *
Yes or no?
  • - select a option
  • Yes
  • No
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Please describe your injuries or illnesses
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How many times per day do you eat? *
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What kind of food do you usually eat? *
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Have you ever been on a diet? *
  • - select a option
  • Yes
  • No
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Your Diet
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Have you ever had stomach illnesses or problems? *
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Would you like to use supplements? *
  • - select a option
  • Yes
  • No
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Are you allergic to any foods? *
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  • Yes
  • No
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Please describe the foods you are allergic to
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Describe shortly how your day goes? *
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Skype ID
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Level of motivation? *
  • - select a option
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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How did you hear about us? *
  • - select a option
  • You contacted me
  • Fitness First
  • Social Network
  • Search Engine (Google)
  • Through a friend
  • Advertisement
  • Other
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