Which One Of The Age Groupings Below Accurately Describes You?
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18-25
26-34
35-39
40-49
50-59
60+
What is Your Gender?
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Male
Female
Please Choose The Image Below That Best Represents Your Current Body Fat Percentage.
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3% body fat or less
4-5% body fat
6-10% body fat
11-15% body fat
16-20% body fat
21-25% body fat
26-30% body fat
31-35% body fat
36% body fat or more
Women: Please Choose The Image Below That Best Represents Your Current Body Fat Percentage?
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7% body fat or less
8-11% body fat
12-16% body fat
17-20% body fat
21-25% body fat
26-30% body fat
31-35% body fat
36-40% body fat
41% body fat or more
What Is Your Primary Fitness Goal?
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Fat Loss
Muscle Gain
Weight Loss Goal - Please Select The Amount Of Weight That You Need To Lose, In Order For You To Successfully Reach Your Fitness Goal.
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5
10
15
20
25
30
35
40
45
50+
How Much Muscle Would You Need To Gain To Reach Your Fitness Goal?
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5
10
15
20
25+
Please Tell Us Your Primary Concern About Participating In This Fitness Challenge?
INJURY - I've heard "high-intensity" training can be dangerous
OUT OF SHAPE - I'm not sure if I'm currently "fit enough"
LONER - I've never been a fan of supportive communities.
VERY BUSY - My time available to workout is very limited.
GIVING UP - I tend to quit every time I start a health and fitness program.
Which Of These Issues Has Previously Been The Biggest Obstacle To Your Fitness Success?
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LACK OF KNOWLEDGE - Not knowing which exercises to perform and/or how to perform them.
TOO BUSY - I know how to have success in fitness, but don't have the time.
PROCRASTINATION - I'm always planning on working out in the future, but I never can get started.
POOR DIET - While my workout program is great, my diet has always been a struggle for me.
NO MOTIVATION - I have the knowledge and time, but don't have the motivation to put in the work.
FEAR OF SORENESS - Every time I try to workout, I'm so sore that I don't go back
How did you find us?
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Flyer
Facebook
Google Maps
Referral
Email
Instagram
Google
Yelp
Other
First Name
Last Name
Phone
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Email
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