First Name
*
Last Name
*
Phone
*
Email
*
What is your primary goal right now?
*
Lose body fat
Build muscle
Improve strength
Improve energy
Recover from injury
Prepare for an event
Just getting back into fitness
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How long have you had your business?
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Less than 3 months
3–12 months
Over a year
I’m just getting started
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What has been your biggest obstacle?
*
Lack of accountability
Not sure what program to follow
Inconsistent schedule
Nutrition struggles
Previous injuries
Motivation
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How soon are you looking to start training?
*
Immediately
Within 1–2 weeks
Just exploring options
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Preferred Training Time
*
Early Morning
Mid-Morning
Afternoon
Evening
Flexible
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Are you ready to invest in your health if this is a good fit?
*
Yes
Possibly
Just checking it out
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