Name: *

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What is your current fitness goal?: *

Tell me is as much detail as you can, why you want to achieve this goal?: *

How important out of 10 is this goal to you? 1 being not important at all, 10 being absolutely life changing!: *

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Have you tried to achieve this goal before? : *

Is there anything stopping you from achieving your goal now?: *

On a scale of 1 - 10, How motivated are you to achieve this goal? 1 Not bothered at all, 10 being So Motivated!: *

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Why have you decided that now is the right time to change? : *

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