Name
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First Name
Last Name
Email
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Phone
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1. What is your primary fitness goal? (Please check all that apply)
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Weight Loss
Build Muscle/ Strength
Improve Flexibility
Improve General Health
Sports- Specific Training
Injury Recovery/ Prevention
Other
If chosen other, Explain.
2. How important your goal is to you? (1 being not as important and 5 being extremely important.)
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1
2
3
4
5
Explain, why you chose that star!
3. How active are you throughout the week?
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Sedentary- I do very little to no exercises throughout the week.
Lightly active – I engage in light exercise or physical activity (walking, light stretching, etc.) 1-3 days per week.
Moderately active – I participate in moderate exercise (gym workouts, running, cycling, etc.) 3-5 days per week.
Very Active- I engage in intense exercise or physical activity (high-intensity workouts, sports, etc.) 5 or more days per week
4. How did you find Us?
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Please Select
Facebook
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Website
Family or Friend
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