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Personal Information

First name*

Last name*

Gender

Email address*

Phone number*

Preferred method of contact

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Goals & Motivation

If you selected 'Other' please specify

Why are these goals important to you?

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Health and Lifestyle

Do you have any pre-existing medical conditions or injuries?

If you selected 'Yes' please specify

Are you currently on any medication?

If you selected 'Yes' please specify

Do you have any allergies or dietary restrictions?

If you selected 'Yes' please specify

How many hours of sleep do you get on average each night?

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Exercise Experience & Preferences

How long have you been training consistently?

What types of exercise do you prefer? (Select all that apply)

If you selected 'Other' please specify

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Nutrition & Supplementation

How would you describe your current eating habits?

If you selected 'Other' please specify

Are you currently following any specific diet plan? (e.g., keto, intermittent fasting, etc.)

If you selected 'Yes' please specify

Do you take any supplements?

If you selected 'Yes' please list the supplements you take

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Current Fitness Program

Are you currently following any fitness program?

If you selected 'Yes' please specify

How many times per week are you currently training?

If you selected 'Other' please specify here

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Quadrant Prioritization

Please allocate 10 points across the following four areas of your life based on your current priorities. You can distribute the points however you like (e.g., 3 points for Career, 4 points for Health, etc.), but the total should always equal 10 points.

Career

Health

Recovery

Social Life

(Feel free to explain why you prioritized certain areas more than others, if you'd like.)

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