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Client Status and Goals Questionnaire

Gender

Do you Text On Your Phone?

Please list any current or past medical (high blood pressure, diabetes, heart disease, high cholesterol, etc.…), bone, or joint conditions

Please list any current or past injuries

Are you taking any medications? If yes, what for?

Are you taking any supplements? If yes, what kind?

Please list all hobbies, sports, or activities you enjoy doing

What are your current goals? (Be specific)

Why do you want to achieve these goals?

Have you worked with a personal trainer before?

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