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  • Personal Details
  • Why You Want to achieve
  • Fitness History
  • More Info

Personal Details

Your Full Name

Your Email Address

What are your fitness goals?

Why You want to achieve?

Why do you want to achieve these goals?

What areas do you want to concentrate on or emphasize?

Fitness History

How long has it been since you have exercised regularly? (3 or more times/week).

Do you have experience with free weights? If yes, what type of program?

What type of cardiovascular exercise are you familiar with?

If you are experienced at working out or are a former/current athlete, what exactly is your current program?

More Info

Are there any exercises that are contraindicated or not recommended by your physician or physical therapist?

How would you describe your level of daily activities? Please check one.

How many days a week can you commit to an exercise program?

Do you have any special considerations or requests?

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