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YOUR PRIMARY INTERESTS: (PLEASE CHECK ALL THAT APPLY)

I'm interested in your Personal Training Services
I'm interested in your Group Fitness Classes
I'm interested in Nutrition Services

 

YOUR GOALS: (PLEASE CHECK ALL THAT APPLY)

Appearance:

Fat Loss
Muscle Tone & Definition
Posture

 

Physical Condition:

Increase Strength
Increase Energy
Improve Flexibility
Sports or Recreation

 

Healthy/Lifestyle:

Strengthen Cardiovascular
Reduce Back/Joint Pain
Reduce Stress
Reduce Cholesterol
Reduce Blood Pressure
Vitality/Wellbeing

 

YOUR EXERCISE REGIMEN

Are you currently exercising?

 

How many days per week do you plan on incorporating fitness into your life?

 

What times are most convenient for you?

Early Morning
Mid Morning
Afternoon
Evening

 

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