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Ready to Crush Your Goals?

Please take a moment to answer some questions...

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First, let's get to know eachother... ^*

By providing your number, you consent to texts from me (Coach Gurt/Kurt). Your information will not be shared whatsoever.

First Name ^*

Last Name ^*

Email ^*

Phone Number ^*

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What is your current age and date of birth?

ex. age, mm/dd/yyyy

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What do you do for work?

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What is your Instagram handle?

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Where are you at in your fitness journey? ^*

Beginner: less than 1 year of training

Novice: 1-2 years of training

Intermediate: 3-4 years of serious training

Advanced: 5+ years of structured & documented training

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What are your current fitness goals?

I want to...

Bodybuilding: Achieve a show ready physique, ready to hop on stage for a competition.

Powerlifting: Build the strength and techniques in order to be competitive on the platform. (Training will be built around the Barbell Squat, Bench, & Deadlift)

Muscle Gain: Add on serious muscle mass on to my frame.

Fat Loss: Reduce body fat, improve health metrics, aesthetics, and/or performance.

Health & Longevity: build or maintain a lifestyle revolving around having the best quality of life.

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What is your current activity level? ^*

Sedentary (little to no consistent exercise)

Light (structured exercise 1-2X/week)

Moderate (structured exercise 3-4X/week)

Major (structured exercise 5-7X/week)

Athlete(structured exercise everyday, frequent 2X training sessions)

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Why are you/did you start? ^*

What's your main motivation/ "why" for starting?

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How motivated are you to start? ^*

How badly do you want to reach your goals?

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Please describe a typical day of eating. (# of meals a day, types of foods, when do you eat etc.)

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Are you dealing/dealt with any health conditions, pre-existing injuries, surgeries? If so, explain. ^*

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What supplements and medications do you take, if any? ^*

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What has stopped you from getting in shape in the past?

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What are your greatest stressors at the moment? ^*

Pick the 3 biggest ones...

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What is the most important thing I could do for you as a coach? ^*

Please be as honest and descriptive as possible...

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Is there anything else you'd like me to know?

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Thank You! I can't wait for our call!

I appreciate you taking the time to fill out this questionnaire, I'll be looking forward to our call!

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Thank you! 🙌

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