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Chrome Divas Pole Dance & Fitness Studio
Fit Diva Information Sheet
Name*
Last name
Your email*
What are your goals in the next 30 days?*
Do you work from home or onsite?*
Age and Height (Ft/in)*
What is your Weight*
Do you have any health conditions/injuries? Please expound each including dates if possible.*
Nutrition Info - What do you usually eat in a day? *
Do you do any form of exercise?*
On a Scale of 1-5, 5 being the highest, how much do you want to reach your goals?*
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email us:
info@fitdivaclub.com
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