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CLIENT INTAKE FORM

Health Declaration

Please fill out the following form completely. Your coach will use this baseline information when designing your training program.

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PART I

Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?

PART II

Self-Assessment

Please fill out the following form completely. Your coach will use this baseline information when designing your training program.

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Thanks for submitting!

Greg Lutcavage, Neuro-Strength Coach, G3 CorePower

While exploring solutions to his epilepsy, Greg Lutcavage evolved into a creative mentor in the functional fitness industry. He is a neuro-strength coach, helping you to blend optimal physical and mental actions into your everyday lifestyle.

 

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