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Crushed Workouts Busy Dad Fitness Audit

FIRST NAME

LAST NAME

EMAIL

PHONE

AGE

CURRENT WEIGHT

GOAL WEIGHT

OCCUPATION

How many days per week are you currently training?

How consistent is your nutrition?

What is your biggest fitness obstacle right now? (Nutrition / Time / Consistency / Travel / Training /
Accountability / Other)

What usually causes you to fall off?

How long have you been trying to solve this?

What have you already tried?

Why is changing this important to you now?

If nothing changes over the next year, what concerns you most?

When are you looking to make a serious change with your health and fitness?

A
B
C
D

Which best describes your interest in coaching right now?

A
B
C
Untitled checkboxes field