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Survey
Workouts
Find Us
Contact
Blog
Health and Fitness Survey
Full Name:
Height:
Age:
Gender:
Male
Female
Fitness Level:
Beginner
Intermediate
Advanced
What do you do for a living?
Work Physical Difficulty:
Easy
Moderate
Difficult
Work Mental Difficulty:
Easy
Moderate
Difficult
What is your main fitness goal?:
Improve Health
Lose Weight
Reduce Stress
Build Muscles
Increase Strength/Speed
Other
What is the main thing that keeps you from achieving your goals?:
No Motivation
Hit A Plateau
No Time
Insecure In A Gym
Other
Do you have any physical limitations that make exercise difficult for you?
Do you have any health concerns we should be aware of?
How often do you eat? (daily)
1
2
3
4
Other
How often do you workout? (weekly)
1
2
3
4
Other
Comments or Questions:
Email:
Please note any information you have entered is not saved or distributed in any manner.