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SHIPSHAPE HEALTH

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ShipShape Health

Name

Email *

Company Name *

Phone *

What is your primary health or fitness goal right now?

Do you feel confident in your ability to follow a structured fitness program?

Yes

No

Unsure

Are you willing to track your progress (e.g., workouts, meals, or measurements)?

Yes

No

What challenges or obstacles have kept you from achieving your goals in the past?

What type of support do you feel you need the most?

What is your biggest motivation for wanting to improve your health and fitness?

Do you have any health conditions, injuries, or limitations we should be aware of?

Injury

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