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Full Name

Age

Phone Number

Email Address

Occupation

Current Address

Height

Current Weight

Desired Weight

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Do You Smoke
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Do You Married
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Hobbies

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Food Allergies

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All list of supplements taken before? When and what was the purpose for supplement consumption, (including OTC and gear if any)

What is your goal
Fat LossWeight GainMuscle GainOther

List of Protein, carbohydrates, vegetables or fat you can’t eat and why?

Daily workout routine Timing and Duration, do you train single muscle or two muscles a day, from how long have you been working out?

Do you currently lift heavy weights/perform strength training exercises?
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Complete details of the current diet / meal plan you follow / or have followed before, for how many weeks you followed it and did you see any results?

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