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GOALS

FITNESS & WELLNESS

Tell us a little bit about yourself so that we can create the perfect program for you.

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Are you currently or trying to become pregnant?
At what level do you prioritize health & fitness in your life:
How committed are you to achieving your health & fitness goals?
What obstacles do you struggle with when it comes to health & fitness:
Do you have any illnesses or injuries that we should know about?
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Areas of interest:

In order of priority, list the health & fitness goals you would like to achieve over the next 3–12 months:

Outline three ways you plan to overcome these obstacles:

On a scale from 1–10, with 1 being the least nutritious, how would you rate your current daily nutrition?