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Online Client Intake
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Email
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Record my email address with my response
Name
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Your answer
Email
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Your answer
Birthday
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Your answer
Favourite Movie and/or What's Your Walk-out Song?
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Your answer
What are your fitness goals?
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Your answer
How many days per week do you typically train?
Your answer
What are your expectations when seeking out a trainer?
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Your answer
What equipment do you have access to on a regular basis? Name of gym with link to website/social media and/or list of home equipment.
Your answer
Have you tracked nutrition at all before?
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Yes
No
Current height and weight
Your answer
Any current or past injuries or medical concerns?
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Your answer
How did you hear about me?
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Your answer
On a scale of 1-5 how committed to your goals are you?
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On a scale of 1-5 how would you rate your current nutrition?
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On a scale of 1-5 how stressed do you feel on the average day?
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On a scale of 1-5 how would you rate your average recovery?
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5
Preferred Day/Time for a Complimentary Video Consultation?
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Your answer
Any additional information you'd like me to know that I forgot to ask?
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