Greg Birmy Fit Consultation Form
Name:
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Surname:
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Phone:
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Email:
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Confirm Email:
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Age:
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Goal:
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Why do you feel you need a health and fitness coach?:
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What do you do for work?:
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What do you do in your spare time, any hobbies etc?:
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What is your current nutrition and exercise habits:
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Do you suffer from or have any medical conditions? I will ask you to fill in a full PAR-Q (Physical Activity Readiness Questionaire) during our first call:
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Results take time and effort from both of us, are you ready to commit to a suitable period of time working together?:
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Would you be free for a video call to discuss this further and get you on your way to a new you? If so when is best?:
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Last question, where did you hear about Greg Birmy Fit?:
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