Brian Seelos Fitness - Client Questionaire
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Email *
First Name *
Last Name *
How old are you? *
Email Address *
Phone Number *
What is your biggest health and fitness goal? Pick one. *
How long have you wanted to achieve this goal? *
On a scale of 1 to 10 (10 being the most committed), how committed are you right now to your health/fitness goals? *
Have you ever worked with a trainer before? *
How would you describe your current diet? *
How many days can you commit to exercising right now? *
Do you have any current or past injuries I should know about? *
Are there any reasons why you think you won't be able to achieve your health and fitness goals? *
What fitness equipment do you have at your home? *
Required
Can you commit $199 a month to your health and fitness goals? *
When is the best time to call you about your new fitness program? *
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