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Personal Information^*

Name:
Email Address:
Phone Number:
Age:
Gender:

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Health and Lifestyle^*

Do you have any medical conditions or injuries?
Are you currently taking any medications?
Describe your current diet / routine?
How many hours of sleep do you typically get per night?

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Goals and Motivations

What are your main goals for seeking training?

Getting stronger

Building muscle

Losing weight

Nutritional coaching

Other

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Goals and Motivation^*

What motivates you to achieve these goals?

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Current Routine and Challenges ^*

What does your current exercise routine look like? How long have you been working out for?
Do you have any preferences or dislikes when it comes to exercise or dietary plans?
What times of day are you most available for sessions?

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Outcome and Direction^*

How committed are you to making the necessary changes to achieve your goals on a scale of 1 to 10?
How much time per week can you dedicate to working towards your goals?
Have you worked with a personal trainer before?

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Thank you that is all!^*

Last Question -- what is your favorite thing to eat

Check out my website for more information

https://fitbyfrancisco.com

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