Check any that applies*
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I am looking to lose body fat and "get ripped"
I am looking to build lean muscle mass
I am overweight or obese, looking to loose weight and fat and overall improve my heath status
I am interested in competing in bodybuilding, bikini, figure or lean out for shoto shoot
I have weird "Work" schedule and want a flexible training and nutrition program.
I am busy mom and need a short & flexible training and nutrition and still achieve my body goal
I am busy entrepreneur I need a program to fit my busy life so I have more time to build my business while staying in shape
Hmm? I don't know maybe I just want to look great naked.
What do you do for a living?
What personal barriers do you feel are keeping you from reaching your nutritional and fitness goals?*
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Lack of Motivations
Self conscious
Lack of results
Not know where/how to begin
Time
Lack of equipment
Hitting a pleateau
Gender*
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Male
Female
Others
Age*
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Weight*
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Height*
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How did you find out about FAN Physique Transformation Program?
Describe your familiarity with counting calories and macros. If you don't have any experience, are you willing to learn?*
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Do you currently exercise on a regular basis?*
Yes
No
If yes, how many days a week?*
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Do you have access to fully equipped gym?*
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Yes
No
Limited access or partially equipped
Home Gym or willing to invest(Resistance bands, kettle bells, or dumbbells)
Average Daily Activity For The Day*
Minimal or no exercise for the day.
Low
Medium-low
Medium
Medium-High
High
What do you think is your biggest challenge in achieving your goals?*
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What have you tried in the past that has not worked for you? And what has worked for you?*
What energizes you in the present? Think about a recent moment when you were happy. What was it about that moment that made it good for you?*
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What motivates you?*
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Need a strong motivator to push you to exercise
You like to be informed about your program and how it is going to lead you to your goals
Like to try new things if they are effective
Willing to push past your comfort level to reach your goals
If I feel things are really hard I tend to back off
Need to be held accountable for what I am doing
Being sore the day after a workout tells me my workouts are working
If qualified, do you have preferred start date?*
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Are you ready to invest in accomplishing your goals TODAY?*
FULL NAME*
First Name
Last Name
Contact*
Phone
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E-mail*
Please use same email to avoid confusion
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