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A New Healthy You!

A New Healthy Life!


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1 South Main St., Suite 13, South Toms River

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Please upload 2 full body photos of yourself, front and back.

FRONT:

BACK:

Do you smoke?

Do you drink occasionally?

Do you eat fast food?

Are you allergic to any foods?

Are you on any medications?

Are there any conditions your coach should be aware of?

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G-FIT NUTRITION QUESTIONNAIRE