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First Name
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Last Name
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Email
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Are you struggling with any medical conditions?
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What motivated you to sign up for Focused Fitness Coaching?
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Do you currently follow an exercise plan? If so, please be detailed!
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Would you say your fitness level is?
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Choose one
What goals are you hoping to achieve in the next 3 to 6 months?
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What qualities are you looking for in a coach?
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How did you hear about this program?
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Choose one
Any other information about yourself that you would like to provide?
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