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Tell me how I can help you below
Be as specific in goals as you can, please.
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Email
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Your email
Full Name
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Your answer
Please share your best phone number with me.
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Your answer
Choose as many as you like
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Weight loss
Muscle gain
My energy is low at the end of the day
My energy is low all the time
I have habits that I want to change
I want to feel stronger and more confident
Other
In the past 5 years has your outlook on your health and fitness changed?
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Yes, it has
About the same
Not at all
Why now? What happened in your life that you are taking action now? What are the things you want to achieve and do going forward? What is it that you really want? Be as specific as you can.
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Your answer
How active are you currently? Tell me more about it.
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Your answer
On a scale of 1 - 10: How comfortable are you with your current workout program?
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Not At All
1
2
3
4
5
6
7
8
9
10
Super Happy
What has worked for your fitness lifestyle in the past?
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Your answer
What didn’t work or was challenging to reach your goals?
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Your answer
Any healthy concerns that need to be considered and may need a medical clearance?
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Your answer
Other things that come to mind that were not addressed here?
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Your answer
Thank you and I'll be in touch with you soon! Heike
Your answer
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