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MOVEMENT + MEDICINE + MASTERY Training Survey Form
30+ yr olds looking to get into the best shape of their life.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Age
*
Your answer
Sex
*
Male
Female
Your Health and Fitness goals in 3 sentences or less.
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Your answer
Why haven't you achieved those goals?
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Your answer
What is your favorite hobby?
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Your answer
What is your Training History? (what types of exercise have you done in the past?)
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Your answer
Do you have a growth mindset?
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Yes
No
I don't know
Do you have any Injuries or Limitations when it comes to exercise?
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Your answer
Why would you hire a Fitness/Nutrition/Health Coach? (what outcomes would you want/expect?)
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Your answer
Have you ever invested in yourself? (Please explain if the answer is yes or no.)
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Your answer
Are you willing to invest in your Health and Fitness goals? If so, how much?
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Yes: 0-$50/month
Yes: 100-$200/month
Yes: 250-$500/month
No
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