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Full Name
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First Name
Last Name
E-mail
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Phone Number
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Area Code
Phone Number
Zip Code
Member Status
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Member
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Have you had a Fitness Health Appraisal with us before?
Yes
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Do you prefer a male or female trainer?
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Male
Female
No preference
Time of day preferred:
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Early Morning (Before 8:00 am)
Morning (8:00 am-12:00 pm)
Afternoon (12:00-4:00 pm)
Evening (4:00 pm-7:00 pm)
Late Evening (After 7:00 pm)
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