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First name
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Last name
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Email
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Phone
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Why are you interested in Body Back?
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To lose some weight
Help with accountability
Eat better
Find time for myself
Tone and Tighten
Get Stronger
What are your current nutrition habits?
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Horrible, help please!!
Okay, but could be better!
Excellent, no problem at all!
When is the best time to workout?
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Mornings
Mid-Mornings
Afternoons
Evenings
What is your current exercise routine?
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Nothing
Exercising 1-2 times per week
Exercising 3-4 times per week
Exercising more than 4 times per week
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