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Trademark Training Intake Form
First name
Last name
Email
Phone
Birthday
Month
Day
Year
Occupation
What equipment do you have access to (full gym, dumbbells. bands, treadmill, none, etc.)?
What is your activity history? This includes any form of physical activity.
List 3 of your top goals you would like to work towards:
Describe any barriers you have encountered while working towards your goals up until now - this includes both physical and mental barriers:
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