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11
Questions
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1
Name
First Name
Last Name
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2
Phone Number
Please enter a valid phone number.
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3
Email
example@example.com
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4
What day would you like to attend D.O.P.E mama Yoga Workout?
Everyday: 7AM to 7:30AM
Monday : 10AM to 10:30AM
Thursdays: 1:30PM to 2 PM
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Everyday: 7AM to 7:30AM
Monday : 10AM to 10:30AM
Thursdays: 1:30PM to 2 PM
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5
Are you apart
of the D.O.P.E community ?
If "no" Check out and Subscribe to our D.O.P.E website.
YES
NO
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6
Date Of Birth
-
Date
Year
Month
Day
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7
Type a question
Are you satisfied with your current daily routine?
On most days how do you feel?
How do you currently feel when you think about working out ?
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Are you satisfied with your current daily routine?
On most days how do you feel?
How do you currently feel when you think about working out ?
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8
On average, how many days per week do you engage in physical activity or exercise?
None
2 day a week
5 days a week
Everyday
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9
What are the main challenges you face in maintaining a regular fitness routine as a mother/single mother?
Lack of time due to childcare responsibilities
Limited Access to Fitness Facilities
Lack of Social Support
Dealing with stress, anxiety, or mental health challenges
Low Energy Levels:
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10
Have you previously engaged in fitness programs or services tailored for single mothers?
YES
NO
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11
Would online fitness classes, flexible workout schedules, or community-based programs be more convenient for you?
YES
NO
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