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First name
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Last name
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Email
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Phone
What branch of service were you in?
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Were you deployed?
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What year and where did you deploy to?
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Were you diagnosed by a physician with PTSD or TBI?
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Voluntarily, what is your rating?
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How much experience do you have with weightlifting or physical fitness? (Beginner, Moderate, Athlete?)
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Are you willing to go to the gym at least three times a week?
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Are you ready to change your life?
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Please provide a picture of your VA card front & back or DD 214.
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