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Body Existence Fitness Application Form
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What does your current fitness routine consist of if any? (days per week, exercises you do, etc)
Your answer
2. In a year from now, what does your dream body look like? (please be specific, such as weight, body fat percentage or give an example of another individual with a body you would love to be like (celebrity for example)
Your answer
3. How old are you, and how much weight do you want to loose(or how much excess weight do you think you are carrying)
Your answer
3. Have you made any effort to obtain your fitness goals in the last month.
Your answer
Why do you think you are not succeeding in obtaining the body you always wanted
Your answer
Do you have a personal trainer or have you ever used one in the past, have you followed a specific program you purchased or tried any other programs, If so, please tell me what the program was and if it was or wasn't effective for you.
Your answer
In a scale of 1 to 10 (1 being the lowest) how would you rate your overall health and fitness right now ?
1
2
3
4
5
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9
10
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If you could begin making fast progress towards your fitness goals, would you be interested?
Yes
No
Maybe
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Do you have access to gym equipment twice a week at most. is there equipment such as barbell, dumbbells, weights bench, chin up bar, exercise bike etc, if not its ok just be honest
Yes
No
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What's your name?
Your answer
What's your email?
Your answer
What is your telephone num or Skype Name/Num(needed for the weekly live calls)
Your answer
Are you willing to invest your time into this program and carry instructions when needed to
yes
No
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