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Full `name:
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Age :
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Gender :
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Mobile number (please include country code):
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Email:
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Instagram handle:
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Where are you based? Please indicate your timezone:
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Tell us your current gym experience and split (E.G. advanced and push / pull / legs / rest):
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Current eating habits or macros if you follow them:
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Please screenshot your 30 day time in target range:
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Regarding your diabetes management, what felt frustrating, tiring, or hard to manage in general:
Main diabetic goal:
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Main fitness / physique goal:
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How much of a priority are these goals to you?:
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How much are you able to financially commit to per month:
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50-100 GBP
150-200 GBP
250-300 GBP
350+ GBP
How did you hear about us?:
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