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Step 1 of 3 - Personal Details
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W Number
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What results do you want to achieve?
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Select All
Body weight loss
Improve fitness
Improve self-esteem
Increase muscle mass
Re-shaping/toning
Other
Other
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I will achieve these results by
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Date Format: MM slash DD slash YYYY
I've been considering this for (months)
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Have you used a gym regularly in the last 6 months?
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Yes
No
Is your membership current?
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Yes
No
Are you currently exercising?
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Yes
No
What type of exercise?
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How many times a week?
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Are you achieving results?
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Yes
No
What is preventing you achieving your goals?
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Have you ever attended an exercise class?
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Yes
No
Which classes have you attended?
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Have ever had a Personal Training session?
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Yes
No
Have you ever attended a Transformation Camp?
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Yes
No
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