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POWERHOUSE FITNESS TRAINING
QUESTIONNAIRE
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FIRST / LAST NAME
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Your answer
PHONE NUMBER
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Your answer
EMAIL
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Your answer
AGE
*
Your answer
CITY CURRENTLY LIVING IN
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Your answer
WHAT IS YOUR GOAL?
*
MUSCLE GAIN
FAT LOSS
WHAT DO YOU STRUGGLE WITH MOST? (check all that apply)
*
WORKOUT GUIDANCE
NUTRITIONAL GUIDANCE
TIME MANAGEMENT
ACCOUNTABILITY
STRESS / ANXIETY MANAGEMENT
STAYING COMMITTED
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