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ASF Client Information Form
Full Name
Phone No.
Email
Emergency Contact No.
Gender
Male
Female
Other:
Age
Date of Birth
Height
Weight
Vegetarian / Non vegetarian
Vegetarian
Non vegetarian ( Only Eggs )
Non vegetarian
Drink/Smoke
Yes
No
Occasionally
Other:
Quantity and Frequency
Workout Experience
Less than 6 months
More than 6 months
Less than 1 year
More than 1 year
No Experience
Other:
Current Full Photo (Front and Back)
Any Medical condition
Yes
No
Any Lifestyle Disease
Pre - Diabetes
Diabetes
Thyroid
PCOD (Polycystic Ovarian Disease) / PCOS (Polycystic Ovary Syndrome)
All Good
Other:
Final Acknowledgment and Consent
By signing or submitting below, I acknowledge that I have read and understood all terms and conditions outlined in this document and on www.amitsahafitness.com. I confirm that I fully understand its contents and agree to them voluntarily and of my own free will. I have carefully read this consent and liability waiver and agree to abide by all terms and conditions stated herein.
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