Please fill out the application below to be considered for acceptance.
Name
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Address
City
Zip Code
Phone Number
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Email
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WHAT ARE YOUR GOALS (CHECK ALL THAR APPLY): BURN FAT
TONE MUSCLE
LOSE WEIGHT
INCREASE SPEED
INCREASE ENERGY
ENHANCE MUSCLE SIZE
INCREASE MUSCLE LEANNESS
INCREASE STRENGTH
SPEED METABOLISM
ELIMINATE ACHES OR PAINS
SPORTS TRAINING
INCREASED KNOWLEDGE
What specific goals can I help you achieve?
When is the best time to call you?
What would you like to talk about?
Do you consider yourself to be a committed person? Yes
No
Are you able to set and accomplish goals? Yes
No
Why is right now the right time for you to pursue your goals?
What strategies have you used in the past to overcome obstacles? What has worked? What hasn’t?
What are the two biggest things in life you are missing out on because of these obstacles?