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First Name
Last Name
Gender
Male
Female
Age
Height
Weight
Email
Phone Number
Which area do you live in Dubai?
What do you do for a living?
What is exactly your fitness goal?
Improve Health
Improve Strenght
Lose Weight
Increase Muscle Mass
Increase Energy
Why?
If you have any diagnosed health problems list the condition(s).
If you have any injuries, please list them.
Are you experiencing any stresses or motivational problems?
Yes
No
Your current diet could be best characterized as:
low-fat
low-carb
high-protein
Vegetarian/Vegan
What is the best time for you to train?
Morning
Mid-Day
Afternoon
Evening
Rate your motivational level to do what it takes to get in the best shape of your life
1
2
3
4
5
6
7
8
9
10
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