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4Star Fitness Information Form
Date / Time
*
Name
*
Email
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Please explain you WHY NOW. Even if you are still in a stage of contemplation into a health and fit lifestyle, what lead to this decision?
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Where do you feel you need the most help in your journey?
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Support, encouragement, discipline
Accountability
Guidance, education
Other
How would you classify yourself in your health and fitness journey?
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I am a begginner, never been on a health and fitness journey before
Starting back into my journey- It has been a while
Currently in a consistent routine
How would you classify your current lifestyle?
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Sedentary- No exercise routine
Exercise routine 1-2 times a week
Exercise routine 2-3 times a week
Exercise routine- 3 or more times a week
How would you rate your relationship with your nutritional habits?
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1-5- Its not good- I need help
5-7- Its OK but definietly could be better
7-10- Its pretty good and on track
What is a specific goal you would like to achieve?
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Fat loss
Reshape body- Muscle tone
Overall Health- More energy and feel better
Lose weight/gain weight
Any additional comments you would like to share to any of the questions above?
Comment
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