Essential Empowerment Plan

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First Name

Phone

Preferred mode of communication

How would you describe your current fitness routine (frequency, type, intensity)?

Do you and your partner exercise together? If yes, how often and what kind of workouts?

How do you feel about your energy levels throughout the day?

How long have you been in your current relationship?

On a scale of 1-10, how would you rate the physical connection with your partner?

What excites you most about deepening your connection through fitness and well-being?

Do you follow any particular diet or nutritional habits?

Are there any health concerns or restrictions (yours or your partner’s) that I should be aware of?

How comfortable are you with making small changes in your daily nutrition?

How open are you to discussing intimacy and pleasure as part of your overall health journey?

Are there areas where you feel you and your partner could connect more emotionally or physically?

What are your top 3 goals for joining Fitmates for Life (fitness, intimacy, connection, confidence, longevity, etc.)?

How would you like to feel in your body and relationship 6 months from now?

If you could unlock one ‘superpower’ for you and your partner through this program, what would it be?