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Fitness Assessment Form
What are your goals in this program?
Fat loss
Gain muscles
Be physically fit
Sport performance
Improve overall health
Weight loss
Name
Age
Gender
Male
Female
Other
Email
Mobile Number
Address
Occupation
Height
Weight
Do you eat 3 meals a day? (Breakfast, Lunch, Dinner)
Yes
No
What do you usually eat in breakfast?
What do you usually eat in lunch?
What do you usually eat in dinner?
Have you had any injuries in your body? If yes, please indicate the location
How much time in a week can you provide in this program?
I confirm that all information I provided in this form is true and accurate.
Yes
No
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