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21-Day Challenge
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Online Virtual Training
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21-Day Challenge
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Athlete Goals
Client Goals
Name
(Required)
Today’s Date
(Required)
Height
(Required)
Weight
(Required)
BodyFat %
Goal Weight
(Required)
Goal BodyFat %
Please indicate your personal health and fitness goals:
(Required)
Lose Fat
Gain Muscle size
Improve Flexibility
Improve Sports Performance
Improve Diet
Improve Cardiovascular Fitness
Increaes muscle strength
Reduce Stress
Enhance Health
Reduce Pain
Rehab Injury
Feel better
What days do you plan to workout at Blaze?.... (ex MWF 6am)
(Required)
1. What outcomes do you hope to achieve with your fitness program?
(Required)
2. What problematic behaviors must you take action against, stop or change in order to meet your goal(s)?
(Required)
3. What do you want to feel when you achieve your goal?
4. What obstacles are keeping you from your goal?
(Required)
5 How will you overcome those obstacles?
(Required)
6. What is your deadline and timeline to acheive your goal?
(Required)
7. Express your goal in terms of a measurable outcome (ie. realist number of pounds to lose or ideal body weight goal).
(Required)
8. What steps will you take to reach your goal?
9. Who can help you be accountable to your goal and support you besides yourself?
10. Please record 3 immediate concrete goals that you are absolutely committed to achieving in the next 4 weeks regarding your fitness program.
11. Please record 3 concrete goals that you are absolutely committed to achieving in the next 3 Months
12. Will You Meal Prep OR Would you prefer WE Meal Prep For you?
(Required)
I'll Meal Prep Myself
I'd Like To Purchase Weekly Meal Prep From Blaze For $100/Week (10 Meals for 5 Days)
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