Fitness Consultation Session

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First name

Last name

Phone

Gender

1. Do you want to see improvements to your health and fitness over the next 3-6 months?

Yes

2. Do you have any food allergies?

Yes

3. How would you like to see your health and fitness improve in the next 6-12 months? (Select all that apply)

I want to lose a few pounds (5-10lbs)

I want to lose a moderate amount of weight (20-40lbs)

I want to lose a significant amount of weight (50+ lbs)

I want to add more muscle to my body

I want my body to look more lean and toned

I want to get stronger

I want to compete in a strength sport

I want more vitality and energy

4. How would you rate your current activity level? (On a scale of 1-10)

5. How would you rate your current diet? (On a scale of 1-10)

6. How serious are you about seeing your health and fitness transform? (On a scale of 1-10)

7. Now let's be honest, what has kept you from achieving your goals?

8. What time of day is best to contact you?

9. What kind of help are you looking for right now?

I want a Do It Myself Solution ($) Just need access to a good facility

I want a Done With Me Solution ($$) Do the work Myself with specific coaching on what to fix

I want the top Done With Me Solution - Money Is Not An Issue ($$$) Do the work Myself with specific coaching on what to fix and heavy accountability support

10. Are you ready to invest in accomplishing your goals TODAY?

Yes! I'm ready to invest in my health

No. I want to stay the same

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IMPORTANT LEGAL DISCLAIMER FOR TESTIMONIALS, RISK AND TYPICAL RESULTS

Achieving optimal health and fitness is not an exact science and the combination of exercise and input to achieve desired results may vary from individual to individual. Following lifestyle, fitness, nutrition and general health tips or programs contained on this website/blog does not guarantee that you will achieve desired results or that you will look like images that might be posted on this website/blog.

Please consult your doctor before beginning any exercise or diet program.

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