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First Name:
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Last Name:
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Age:
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Gender:
Male
Female
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Country:
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E-mail Address:
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Confirm E-mail Address:
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Height:
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Weight:
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Chest Measurement:
Waist Measurement:
Arms Measurement:
Thigh Measurement:
Calf Measurement:
Neck Measurement:
Desired Goal:
Fat Loss
Muscle Mass Gain
Strength Increase
Six Pack Abs
Contest Prep
Fitness Model
Toning
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Desired weight:
Choose your body type:
Ectomorph
Mesomorph
Endomorph
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On which muscle groups would you like to emphasize:
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Have you trained before?:
YES
NO
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If yes, for how long?:
Describe shortly the training program you have used:
Have you ever played any sports? What kind?:
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How many times per week will you be able to train?
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7
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How much time a day you can spend for training?:
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What time of the day is most convenient for you to train?:
Do you have any injuries or illnesses:
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Describe shortly how your day goes? (for example: I get up at 7am, I go to work at 8am and I train at 6pm):
Do you have or have you had stomach illnesses or problems?:
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Would you like to use supplements?
YES
NO
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Are you allergic to any foods and if yes, what kind?:
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Which of the 3 types of foods do you prefer?
please chose
chicken
beef
fish
How would you rate your level of motivation to reach your goal on the scale from 1 to 10?
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10
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