First Name
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Email
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What are the biggest struggles you face when trying to get in shape?
Which of these best describes you?
I struggle with the way I look and feel about myself
I'm okay with how I look and feel but would still like to see some progress
I am completely happy with where I am at right now
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Have you tried to get in shape and change the way you feel about yourlself?
Yes
No
Not bothered
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If you were to start what would be your ideal outcome (where do you want to be)?
Have you ever considered online coaching to help you start making progess?
Yes I would be interested
No I am ok thanks
I might be interested but need more info
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