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Online BJJ Strength & Conditioning FORM
What is your name?
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What is your BEST email address?
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What is your best phone number?
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Gender?
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Gender?
A
MALE
B
FEMALE
How old are you?
*
What is your occupation?
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How many hours per week do you work?
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How active is your job?
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How active is your job?
A
Very active
B
Moderate
C
Sedentary
How much time can you realistically dedicate to fitness each week?
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What is your current fitness level?
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What is your current fitness level?
A
Beginner
B
Intermediate
C
Advanced
What is your BJJ rank ? (belt)
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What is your BJJ rank ? (belt)
A
White
B
Blue
C
Purple
D
Brown
E
Black
What other activities do you engage in (outside of BJJ)?
*
Do you currently have any injuries or health concerns?
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What is your biggest fitness struggle at the moment?
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How would you describe your diet?
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How would you describe your diet?
A
Very healthy
B
Moderately healthy
C
Unhealthy
Are you currently following any specific nutrition plan?
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Are you currently following any specific nutrition plan?
A
Yes
B
No
C
I am interested in learning more
Would you be willing to follow a structured meal plan to help with your fitness goals?
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Would you be willing to follow a structured meal plan to help with your fitness goals?
A
Yes
B
No
C
Maybe
What are your primary fitness goals? ( can select more than 1)
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What are your primary fitness goals? ( can select more than 1)
What motivates you to train?
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What do you feel is holding you back from achieving your fitness goals?
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How do you feel about your current physical state?
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How do you feel about your current physical state?
A
Very Happy
B
Could be better
C
Dissapointed
Would you be open to receiving professional coaching to speed up your progress?
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Would you be open to receiving professional coaching to speed up your progress?
A
Yes
B
Maybe
C
No
How do you feel when you’re on the mats and struggling to keep up with others?
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Have you ever felt frustrated with your progress in BJJ or fitness?
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If you could achieve your fitness goals in the next 12 weeks, how would it change your life?
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What would make you decide to join a 12-week fitness program today?
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Would you be interested in a free consultation call to discuss your fitness goals and how we can help you achieve them?
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Would you be interested in a free consultation call to discuss your fitness goals and how we can help you achieve them?
A
YES
B
NO
Submit
