Fitness Assessment

 
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Please answer the following:

Name *
Name
Ft/in.
Sitting/ Standing/ Walking/ etc.
Workouts/ Activities/ etc.
What Type/ How Often/ Duration
Estimate. If not currently dieting type "No Diet"
Allergies/ Anything you absolutely WILL NOT eat
Lose Fat/ Gain Strength/ Develop Consistency/ etc.
Injuries/ Missing Limbs/ etc.
Gym/ Apartment Gym/ Home
Free Weights/ Benches/ Squat Rack/ BOSU Balls/ Kettle Bells/ Cardio Equipment/ etc.
Anything else you think is valuable for me to know before we begin this venture?