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Mindless Fitness Questionnaire
1
1. How many days a week do you do exercise?
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I don't. HELP ME!
1-2 days
3-5 days
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2
2. How much time do you spend for a regular exercise?
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I've been slacking!
30-60 mins
60-90 mins
More than 90 mins
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3
3. Where do you prefer to do exercise?
*
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Gym
Home
Fresh air
Group Fitness
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4
5. What is your main goal doing exercises?
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Lose weight
Gain weight
Maintain weight
Build muscles
Stay fit
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5
6. Any workout classes on your bucket list?
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Select
Crossfit
Yoga
Pilates
Circuit Traning
Kickboxing
Spinning
Dancing
Barre
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6
7. What are some struggles or challenges that led you to join this program?
*
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I feel mentally drained and need structure.
I don't know where to start with my fitness journey.
I struggle with consistency.
Unable to break through bad habits.
I just want to be more active.
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7
8. Do you have a nutrition plan?
*
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Yes, I count calories and consume athletics food supplements.
Yes, I count calories but I don't consume any supplemental food.
No, I don't but I eat healthy.
I can't put the fork down.
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8
11. What motivates you best to reach your fitness goals?
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9
12. What is the biggest challenge that can keep you away from your fitness goals?
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10
12. Any health concerns?
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11
Your Name
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First Name
Last Name
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12
Email Address
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example@example.com
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13
Phone Number
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Please enter a valid phone number.
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