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Age *Select Age151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980Country *Select CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia & HerzegovinaBotswanaBrazilBritish Indian Ocean TerBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCayman IslandsCentral African RepublicChadChannel IslandsChileChinaChristmas IslandCocos IslandColombiaComorosCongoCook IslandsCosta RicaCote DIvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerGabonGambiaGeorgiaGermanyGhanaGibraltarGreat BritainGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuyanaHaitiHawaiiHondurasHong KongHungaryIcelandIndonesiaIndiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalaysiaMalawiMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMidway IslandsMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNambiaNauruNepalNetherland AntillesNetherlands (Holland, Europe)NevisNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau IslandPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarRepublic of MontenegroRepublic of SerbiaReunionRomaniaRussiaRwandaSt BarthelemySt EustatiusSt HelenaSt Kitts-NevisSt LuciaSt MaartenSt Pierre & MiquelonSt Vincent & GrenadinesSaipanSamoaSamoa AmericanSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTahitiTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IsTuvaluUgandaUnited KingdomUkraineUnited Arab EmiratesUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuelaVietnamVirgin Islands (Brit)Virgin Islands (USA)Wake IslandWallis & Futana IsYemenZaireZambiaZimbabweHeight *Select Height4.5 feets4.6 feets4.7 feets4.8 feets4.9 feets4.10 feets4.11 feets4.12 feets5.0 feets5.1 feets5.2 feets5.3 feets5.4 feets5.5 feets5.6 feets5.7 feets5.8 feets5.9 feets5.10 feets5.11 feets5.12 feets6.0 feets6.1 feets6.2 feets6.3 feets6.4 feets6.5 feets6.6 feets6.7 feets6.8 feets6.9 feets6.10 feets6.11 feets6.12 feets7.0 feets7.1 feets7.2 feets7.3 feets7.4 feets7.5 feets7.6 feets7.7 feets7.8 feets7.9 feets7.10 feets7.11 feets7.12 feetsWeight *Select Weight Kg5051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140Desired Weight *Select Desired Weight45464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150Desired Goal *Select Desired GoalGaining Muscle MassChoose Your Body Type *
On which muscle groups would you like to emphasize: *Select MuscleArmsShoulderChestBackAbsLegsGlutesCalvesHave you trained before? *YesNoFor how long you’re training? *SelectNeverLess Than a Year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 YearsHave you ever played any sports? What kind?Select SportsGolfBasketballFootballBaseballHockeyCricketBadmintonTable tennisHow many times per week will you be able to work out?1234567How much time per day can you dedicate for working out?1h2h3h4h5h6h7h8hWhat time of the day is most convenient for you to work out?MorningNoonAfternoonEveningDo you have any injuries or illnesses:YesNoWould you like to use supplements?YesNoAre you allergic to any foods and if yes, what kind?Which of the 3 types of foods do you prefer?Select FoodChikenBeefFishMuttonHow did you find out about www.badassfitnezz.com?SelectGoogleSocial MediaFriendsAdditional Comments (specific needs, returning client feedback, injuries, illnesses, etc.): Update
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