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Physiqlab Premium Online Coaching!

It's time to unlock your dream physique!
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Please complete the following... ^*

First Name ^*

Last Name ^*

Email ^*

Phone Number ^*

Instagram Username ^*

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What is your age? ^*

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What is your employment status? ^*

Full Time

Part Time

Casual

Self Employed

Unemployed

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What's the primary goal right now?

Fat Loss

Build Muscle

Other

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What is your goal in detail? ^*

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What's the #1 thing preventing you from getting to your goal now? ^*

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How long have you been wanting to achieve your goal? ^*

Less than 6 months

6-12 months

1-2 years

My whole life

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Rate your current training level ^*

Beginner (less than 12 months)

Intermediate (1-2 years)

Advanced (2 years+)

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Do you have injuries? ^*

Yes

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If so, what are your injuries?

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Are you cleared by a GP (doctor) and deemed fit to participate in a training and nutrition program? ^*

Yes

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Have you hired a coach or personal trainer in the past? ^*

Yes

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If yes, how was your experience and results? ^*

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Please be aware our coaching is limited and premium. This is an investment. We only work with a limited number of clients at a time (to ensure high quality results/coaching & your priority as a client). Hence why we are not the cheapest. You get what you pay for though. Does this make sense? ^*

Yes

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