Goals Digger (START HERE)
First Name?:
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Last Name?:
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Phone:
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Email:
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Country:
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Gender:
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Male
Female
Other
Height? (ft or CM):
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Current Weight? (Lbs, Stone or Kg):
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How old Are you?:
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Activity Level?:
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Select Here
Basic Metabolic Rate (BMR)
Sedentary: Little or no exercise
Light: Exercise 1-3 times/week
Moderate: Exercise 4-5 times/week
Active: Daily exercise or intense exercise 3-4 times/week
Very Active: Intense exercise 6-7 times/week
Extra Active: Very intense exercise daily or physical job
Your Goals? (Check all that applies):
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Weight loss (Losing Body Fat)
Weight gain (Lean muscles)
Healthier active lifestyle
Improve/Increase athletic performances
Postpartum Weight Loss
Better Energy
Better Skin Care (reduce Cellulite)
Reduce bloating & Inflammation
How much Weight would you want to Lose or Gain?:
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Lose 5 lbs / 2.5 Kg
Lose 5 - 10 lbs / 2 - 4.5 kg
Lose 10 - 20 lbs / 4.5 - 9 Kg
Lose 20 lbs plus / 9 Kg plus
Gain Lean muscles 10 lbs / 4.5 kg
Gain Lean muscles 10 - 20 lbs / 4.5 - 9 Kg
Gain Lean muscles 20 lbs plus / 9 Kg plus
Why do you want to achieve this/these goals?:
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How much time are you ready to give yourself to reach your goals?:
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30 Days (1 Month)
60 Days (2 Months)
90 Days (3 Months)
6 Months
1 Year +
On a scale of 1 to 10, how serious are you about your goal(s)?:
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This field is required
Best method of contact?:
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Call
Email
Anything else I should know?:
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