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First Name
Last Name
Email
Contact Number
What is your Age? (21+ Only)
Where are you Located? (USA Only)
What are your main Fitness Goals?
What are your Struggles?
From a scale of 1-10, how HUNGRY are you in making a better change?
From a scale of 1-10, how BAD do you need a Coach to help guide you towards your fitness goals?
Do you have an Occupation / Job? (Yes or No)
What is your activity level at work? (High/Med/Low)
After the trial is over, If we are a great fit to work together, from a scale of 1-10, how likely would you make an investment and continue working with me?
Do you have a good credit score of +650? (Yes or No)
Write me a small paragraph on why you want to work with me specifically and why I should choose you?
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