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FAT LOSS REFRAME INTAKE
First name
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Last name
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Email
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Phone Number
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Address
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Age
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Height
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Weight
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What is your current workout schedule? What type of exercise do you do? Do you workout at home or at the gym?
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If working out at home what equipment do you have available?
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Do you have any injuries preventing you from doing certain exercises?
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Do you have any medical conditions I need to be aware of?
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What is your average daily step count? If you do not wear a watch or ring that tracks how active are you in your day to day? Please describe your current lifestyle.
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On average how many ounces of water do you drink daily?
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What are your current eating habits? Describe what/how you typically eat in a day (the more specific the better)
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What types of foods do you love? What types of foods do you not enjoy? What are foods you love but feel like are a cheat meal?
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Do you have any food allergies or sensitivities?
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What types of diets have you tried in the past and how was your experience?
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If you have done macros what were your numbers and what was your experience like?
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What have been the biggest obstacles that have kept you from reaching your goals or have caused you to rebound? Please be specific, the more I know the more I can help!
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What are you goals for the next 6-12 weeks? How would you like to feel?
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