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Plant Strength Coaching Application
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Full name
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Your answer
Your date of birth
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Your answer
Address
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Your answer
Email
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Your answer
Phone number, including country code
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Your answer
Occupation
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Your answer
Emergency contact (name and phone number)
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Your answer
Are you taking any medication? Do you have any medical concerns? Please elaborate.
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Your answer
Do you have any injuries, or get any aches, pain or muscle tightness? Please elaborate.
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Your answer
Are you currently seeing any allied health professionals? Please list name, occupation and contact details.
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Your answer
Are you inquiring about distance coaching or in-person?
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Distance Coaching (no complicated medical issues or injuries)
In-Person Coaching (available for Sydney residents only)
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