Wufoo
Jango's Mentoring And Fitness Camp
Complete each question below and submit. ** Please note ALL information is kept completely CONFIDENTIAL **
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Weight Loss Q
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Options
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Let's get this going!
Name
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First
Last
Phone Number
Email
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How much weight would you like to lose in the next 12 months?
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With the above question in mind, how would that make you feel?
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What have you tried in the past to help you lose weight?
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What size would you like to be?
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What clothes do you want feel comfortable in?
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If you could wave your magic wand and change 3 things about your body right now. What would they be?
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Which location would you like to attend to kickstart your goals?
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Images Fitness Gym, Ashley Cross - Mon, Wed, Thur, Fri 6:30am - 7:15am
Muscliff Primary School - Mon, Wed, Fri 6:15pm - 7:00pm
Boscombe Pier Mon, Wed, Fri 9:30am-10:15am
Boscombe Pier Mon, Wed, Thursday 7:30pm-8:15pm
Ferndown Leisure Centre Mon, Wed, Fri 6:30am-7:15am
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