Full Name
Date of birth
What’s your current height?
What’s your current weight?
What is your main fitness goal?
Build muscle
Lose weight
Improve endurance
Increase strength
Other: ________
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List is empty.
How many days per week do you currently exercise?
0 days
1–2 days
3–4 days
5+ days
Do you have any injuries or health conditions we should know about?
Yes
No
On a scale of 1–10, how committed are you to reaching your fitness goals?