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Thomas Stevens —
CERTIFIED FITNESS TRAINER

Atlas Performance

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Name*

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Age*

What are your top 1–2 fitness or health goals right now?*

What are you struggling with the most?*

How would you describe your current fitness level?*

Beginner

Intermediate

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Do you have any injuries or pain I should know about?

How many days per week do can you exercise?*

1-2

3-4

5-6

Why do you want coaching now?*

What equipment do you have access to?*

How ready are you to get started? *

Ready now

In the next 30 days

Just looking for more information right now

Is there anything else you want me to know about you or your goals?

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