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Six Months Individual
Price:
Rs84,000 for 6 Months
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Sri Lanka
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Gender Diverse
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Do you ever feel faintish or have spells of dizziness during physical activity/exercise that causes you to lose balance:
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Yes
No
Do you suffer from any of the conditions that required immediate medical assistance at any point over the last 12 months if yes please list:
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Yes
No
if yes please list:
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Asthma attacks
Heart conditions or stroke
Diabetes
High or low blood pressure
Have you been diagnosed with any muscle, bone or joint problems that you have been told that could Aggravate by participating in physical exercise:
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Yes
No
Are you experiencing any stresses or motivational problems:
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Has anyone of your immediate family developed any of the conditions mentioned below:
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Asthma attacks
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Do you smoke/drink Yes / No If Yes how often:
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If you are on any other medications for any reason please mention here:
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What following goals does best fit in with your goals:
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Improve Health
Improve Endurance
Increase Strength
Increase muscle mass
Fat Loss
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1 Month
3 Month
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12 Month
How often are you willing to train a week to reach your goal:
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3 times a week
4 times a week
5 times a week
6 times a week
Are you currently exercising regularly (at least 3x per week):
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Yes
No
Please rate your motivational level to do what it takes for reach your goal. From 1 lowest and 10 highest:
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1
2
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5
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7
8
9
10
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Description
Amount
Six Months Individual – Initial Payment
Rs84,000.00
Total
Rs84,000.00
Pay By Cash
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