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Client Assessment

Fields marked with an * are required

THIS APPLICATION is to be completed by the client only as "Sponsor" (or "Co-Sponsor"), as may be applicable. Please note that client information must be provided as accurately as possibly in order to facilitate.

What are your primary fitness/wellness goals? *
Do you have any health limitations, conditions, injuries or surgeries? *
Have you done any blood work recently? (if yes, explain in notes)
Do you have any current disease(s) diagnosed by your physician? *
What is your Fitness/Exercise Experience? *
Do you take any vitamins/supplements/sport nutrition? *
Have you done ancestry test or 23andMe?
What disease(s) running in your family? *
Do you have any bad habits? *
What is your Biological Gender? *
Blood Type *
Do you take any prescribed medications? *

All statements made in this application are made for the purpose of providing an accurate assessment for the purpose of your client consultation with Fit Spirit LLC.

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