M TECH FITNESS

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Name

Occupation

Current hobbies

Age

Height and Current Weight

What are your current goals?

Current Activity Level?

Sedentary (little to no exercise) Light Active: exercise/sport (1-3days/week) Moderately Active :moderate exercise/sport (3-5days/week) Very Active : Hard exercise/ sport (6-7days/week) Extra Active : very hard exercise/sport + physical job

Do you have any medical conditions or injuries that could affect your progress?

Do you have a support system around you? Please describe.

What is your current motivation level on a scale of 1-10 (1 = least motivation, 10= highly motivated) Why is it at that level?

Describe your past and/or current gym routine.

Have you had a trainer or nutrition coach before? How was the experience?

How many times a week do you want to work with a personal trainer?

Is there anything you enjoy doing in the gym? Or anything you really want to try?

What do you need from me to be successful?

Based on the text above, do you have any questions for me?

Average amount of sleep?

Contact

780 297 6687

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