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Intake form for The Fitness & Wellness Challenge

This is Important!  To ensure we can serve you best - please fill out this intake questionnaire 

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Question 2 of 6

What's the One thing you want to accomplish in this Fitness & Wellness Challenge?

Question 3 of 6

Please describe the programs or resources you have invested in to get in shape & establish new healthy habits.  In what ways have they helped you and in what ways have they disappointed you or not met your expectations?

Question 5 of 6

Tell us your age and if there any injuries I need to know about or certain movements/positions that cause pain or major discomfort?

Question 6 of 6

Why is now the time to take this challenges and take command of your health and focus?

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