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LEG UP Personal Training Client Application
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Email
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Your email
Name
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Your answer
Age
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Your answer
Phone number
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Your answer
What is your occupation?
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Your answer
Give a brief description about the problem you are having?
*
Your answer
How long have you been dealing with this problem?
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Your answer
On a scale of 1-5 with 1 being the least important to you and 5 being the most, how important is fixing this problem?
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1
2
3
4
5
Do you have equipment at home? If so please describe what you have access to.
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Your answer
Have you had any previous injuries? If so, please explain.
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Your answer
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