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What would you like help with? What is your goal?
What have you tried in the past that hasn't worked?
What things would change if you resolved this challenge?
What would you like to accomplish in the next 3 months?
How much time per week do you have to work on your goal?
How committed are you to reaching your goal? 1-10, 10 being very committed.
 I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
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