CLIPPA Workout Program Info Form

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CLIPPA Workout Program Info Form

Full Name

What are your main fitness goals for the next 30 days?

Weight Loss

Muscle Gain

Endurance

Maintenance

Can you describe your current fitness level?

Beginner

Intermediate

Advanced

Do you have any pre-existing medical conditions or injuries?

How many days a week can you commit to working out?

Once A Week

Twice A Week

Three Times A Week

Four Times A Week

Five Times A Week

Six Times A Week

Seven Times A Week

How much time per session?

10 Mins

20 Mins

30 Mins

40 Mins

50 Mins

60 Mins & More

Do you plan to work out at home, a gym, or outdoors?

Home

Gym

Outdoors

Have you followed any workout plans in the past? What did you like/dislike about them?

Thank you!

We have received your submission.

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