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* 1. Name

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* 2. Instagram Handle

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* 3. Email

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* 4. Height

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* 5. Weight

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* 6. Number of training sessions per week 

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* 7. Other activities, ie running/ team sport -including weekly frequency

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* 8. Current injuries, aches, pains

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* 9. Previous injuries, aches, pains

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* 10. Current or previous medical conditions

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* 11. Describe your current drug/alcohol consumption

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* 12. What are your best lifts?

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* 13. What are your goals for the program?

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* 14. Why is this important to you?

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* 15. Would you like to be updated on future coaching offers from Team Moose? 

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