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LIFESTYLE COACHING APPLICATION FORM

Name

Gender

Current Weight

Age

Height

Goal Weight

Goals:

Let's learn a little bit more!

Have you ever been on a diet before?

Are you currently on a diet?

Do you currently have an exercise routine?

Are you currently dealing with any injuries, or have old injuries that still bother you?

Have you ever worked with a coach - fitness or nutrition?

Email

Phone Number

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