First Name
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Last Name
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Email
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What is your gender?
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Male
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What is your height in cm?
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How many times per week do you currently exercise and what types of exercise do you do most weeks?
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Do you feel depressed or anxious often?
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Yes
No
Do you suffer often from mood swings?
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Yes
No
Who do you live with? (e.g. spouse/partner, parents, roommates, children, pets)
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What, if any, major obstacles are you encountering at home or with loved ones when it comes to your efforts to exercise, eat, sleep, manage stress etc?
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What drove you to seek out coaching with me?
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Is there anything else you want to share that you haven't been asked yet?
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Do you own either of the below wearables?
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Select an option
The minimum term of coaching is 4 months, please indicate below that you understand this to be the case in terms of your commitment
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I accept
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Statera Fitness may, from time to time, use your results, testimonials etc for marketing purposes do you consent?
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Yes
No
Please check the box below to confirm you have downloaded and listened to the podcast 'Learn with Bruce & Eddie' on Spotify or to confirm that you have now downloaded it and will listen during the onboarding process and before your first training session!
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Already listened to some or all
Downloaded and will listen in the coming days