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PRE-CONSULTATION FORM
Name:
Age:
Height:
Weight:
Current Profession/Job(s):
Work Hours/Week (Days & Total Hours)
What are your dietary/eating habits?
Tell me about your Fitness/Exercise experience
From that experience, what aspect did you enjoyed the most?
How many days do you currently / aim to exercise a week?
How long do you currently / aim to exercise per day?
Sleep Habits/Avg. Hours
Any injuries, ailments, soft spots?
Cannabis and/or Cocktails?
Do you currently take any supplements and/or noteworthy medications?
What are your Short-Term goals? (1-6 months)
What about your Long-Term Goals? (1yr (+))
What do you believe is currently your biggest obstacle in the way of achieving your Fitness, Health, & Wellness Goals?
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