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Home
Who am I?
Coaching
Pricing
Results
Contact
Home
Who am I?
Coaching
Pricing
Results
Contact
×
Home
Who am I?
Coaching
Pricing
Results
Contact
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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Male
Female
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Your Body
Your Height
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Waist Measurement
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Desired Goal
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Please select your target for personal training.
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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
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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?
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This can be on your own or with a PT
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Yes
No
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How Long For?
Days? Months? Years?
[{"field":"trainedbefore","logic":"equal","value":"Yes","and_method":"","field_and":"name","logic_and":"","value_and":""}]
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Describe the training programme you have used
[{"field":"trainedbefore","logic":"equal","value":"Yes","and_method":"","field_and":"name","logic_and":"","value_and":""}]
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Have you ever played any sports?
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Yes
No
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How much time a day can you spend on training?
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What Kind?
[{"field":"{haveyouplayedsports}","logic":"equal","value":"No","and_method":"","field_and":"{name}","logic_and":"","value_and":""}]
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What time of day is most convenient for you to train?
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Morning
Midday/Noon
Afternoon
Evening
Night
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How many times per week will you be able to train?
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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?
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Yes or no?
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Yes
No
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Please describe your injuries or illnesses
[{"field":"injuriesorillnesses","logic":"equal","value":"Yes","and_method":"","field_and":"name","logic_and":"","value_and":""}]
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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?
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Yes
No
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Your Diet
[{"field":"everbeenondiet","logic":"equal","value":"Yes","and_method":"","field_and":"name","logic_and":"","value_and":""}]
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Have you ever had stomach illnesses or problems?
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Would you like to use supplements?
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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
[{"field":"allergic","logic":"equal","value":"Yes","and_method":"","field_and":"name","logic_and":"","value_and":""}]
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Describe shortly how your day goes?
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Skype ID
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Level of motivation?
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1
2
3
4
5
6
7
8
9
10
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How did you hear about us?
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You contacted me
Fitness First
Social Network
Search Engine (Google)
Through a friend
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Other
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