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Intake

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Fitness Equipment

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Last Name

Phone

Email

Birthday

What are your goals?

Are you allergic to anything?

Are there any foods you won't eat?

Are you taking any medications?

Rate your level of fitness on a scale of 1-10.

Rate your gym knowledge on a scale of 1-10.

Is there anything else I should know about you?

How did you find out about us?

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