"Health is a Lifestyle" 

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CLIENT PROFILE                  
Client Profile

Take your time and fill out the following questions to the best of your ability. 

Full Name:
Best Contact Phone Number:
Best Contact Email Address:
What are the top 2-3 reasons you want to improve your personal health:
How committed are you to improving your health on a scale of 1-10:
Rate your current exercise habits on a scale of 1-10:
Rate your current nutritional habits on a scale of 1-10:
Describe what you eat on a typical day:
What road blocks or struggles do you face when it comes to leading a healthy life:
What are your health and fitness goals:
What do you feel needs to change in order to achieve your goals:
Explain how your life would be different if you met all your fitness goals:

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