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R.U.N CLUB APPAREL
PERSONAL TRAINING PACKAGES
APPAREL
About ME
Testimonials
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Contact ME
Sign In
My Account
R.U.N CLUB APPAREL
PERSONAL TRAINING PACKAGES
APPAREL
About ME
Testimonials
Train With ME
Contact ME
Questionnaire
By understanding more about you, I can better help you reach your health and fitness goals through personalized exercises and programs.
Please complete the form below:
Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Age
Rate your nutritional habits on a scale of 1-10 (1 being poor, 10 being great)
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10
Any pains or stiffness (eg. back, knees, neck, hips.)
Top 3 Fitness Needs and Goals
*
How long have you been working towards these goals?
*
What barriers have gotten in your way that have prevented you from achieving these goals?
*
Realistic time frame on when you wanted to achieve these goals
*
On a scale of 1-10, how important is this to you?
*
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2
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9
10
What makes it so important?
*
What would you want from me as your coach to help you succeed?
*
Thank you!
