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COLANGELO FITNESS QUESTIONNAIRE

Name & Age

Phone

Email*

What are your primary fitness goals ?

Do you have any health issues that would affect your ability to participate in a fitness and exercise program?

When was the last time that you exercised regularly? What type of exercise did you do?

What if anything has kept you from exercising in the past?

When was the last time you felt good about the way you look and feel?

How do you envision yourself when you reach your ultimate fitness goal?

How many times per week do you go out to dinner on average?

How many days can you commit to reach these goals?

Are you willing to follow the meal plan in order to reach your goals?

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