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Our first meeting with you is all about understanding who you are and customizing your experience. The best part… It’s completely free.

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Personal Fitness & Nutrition Development Questionnaire

First Name*
Last Name*
Phone Number*
E-mail*
Age
Gender
What are your Fitness & Nutrition goals?*
- Learn to Balance Activity & Diet
- Create a Healthy Lifestyle
- Improve Overall Health
- Maintain a Healthy Weight
- Decrease Body Fat
- Reduce Stress
- Feel Better
- Increase Flexibility
- Increase Endurance
- Tone Muscles
- Increase Strength & Power
- Improve Speed/Agility
- Improve Athletic Performance
- Other
What is keeping you from achieving your Fitness & Nutrition goals?
- Lack of Motivation
- Hitting a Plateau
- Money
- Time
- Self Conscious
- Lack of Results
- Lack of Equipment
- Not Knowing Where/How to Begin
- Other
Do you follow a current exercise regime?
- Yes
- No
If yes, please explain.
Best time of day for you to workout?
- Early Morning
- Lunch
- Evening
- Weekend
Select Consult Time*
- M/W - 4:30 AM
- M/W - 8:00 AM
- M/W - 5:15 PM
- TU - 3:45 PM
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GRIT FITNESS & WELLNESS

280 Industrial Drive
Clarksville, Tennessee

931-326-4748

info@gritfitwellness.com

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