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Fitness Survey
* Required fields
Name *
E-mail Address *
Cell Phone *
Address *
City *
State *
Zip Code *
Gender *
Age *
What is your height? *
What is your weight? *
Sport/Activity *
What are your fitness goals? *
What would you like to gain from this experience? *
Lose weight
Gain weight
Get stronger
Get faster
Gain more flexibility
Improve overall health
Be more athletic
Learn how to work out
How often do you exercise? *
0-1 times per week
1-2 times per week
2-3 times per week
3-4 times per week
4-5 times per week
5-6 times per week
6-7 times per week
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