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Program Recommendation Quiz
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11
Questions
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1
Your name
*
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2
Gender
*
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Male
Female
Other
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3
What's your age?
*
This field is required.
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4
What's your weight (in lbs or kg)
*
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ex. 190lbs or 86kg
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5
How tall are you (in cm or ft)?
*
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ex. 179cm or 5.9ft
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6
What best suit your needs?
*
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Just a custom program for fitness and health
A custom program + meal plan and nutrition suggestions
A custom program + meal plan and nutrition suggestions + video training
In-person personal training
Other
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7
Are you located near Richmond BC, Canada (Greater Vancouver)?
*
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YES
NO
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8
Can you come down to Richmond for a consultation?
*
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Sure
No
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9
If not what's stopping you?
ex. too far
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10
Do you have any prior experience with weight training?
*
This field is required.
Really experienced (1 year or more of experience)
intermediate (6-12 months of experience)
Some what experienced (more than 3 months and less than 6 months of experience)
Beginner (less than 3 months of experience
None at all
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11
Do you have any sports or exercise experience (aside from weight training)
*
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ex. I used to play basketball or I used to jog a lot
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12
How often do you exercise?
*
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1-2 times per week
2-3 times per week
4-5 times per week
Everyday
None at all
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13
What's your main goal?
*
This field is required.
Lose weight
Put on some more weight
Put on some more muscle
Become Stronger
Become leaner
Other
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14
Can you lose or gain weight easily?
*
This field is required.
No (its hard to gain weight)
No (its hard to lose weight)
Yes (I can lose weight easily)
Yes (I can gain weight easily)
Other
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15
Email
*
This field is required.
example@example.com
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16
Email
*
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example@example.com
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17
Email
*
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example@example.com
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18
Email
*
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example@example.com
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